FAQ Featured Location: Prescriptions FAQs

• Specialty Medications

  Specialty medications are used to treat complex, long-term conditions. These are medications that may need special storage or have side…

• Generic Drugs

  Priority Partners encourages use of generic medications. Generic versions have the same active ingredients as their related brand-name drugs. Brand-name…

• Over-the-Counter (OTC) Drug Coverage

  In addition to prescription benefits, some over-the-counter (OTC) medications are covered. Please refer to the Over-The-Counter Drug Coverage list in…

• Compound Drugs

  To ensure safety and effectiveness of compounded medications, some compounded prescriptions may be rejected at the pharmacy and require prior…

• Step Therapy

  Some medications require you to try a preferred drug to treat your medical condition before we cover the drug your…

• Quantity Limits

  Certain medications have a quantity limit, also known as managed drug limitations (MDL). These medications require prior authorization from your…

• Prior Authorization

  Drugs that are not listed in the formulary must be approved by your plan before they can be filled at…

• Non-Formulary Emergency Supply

  If the Priority Partners precertification department is closed, or the pharmacist cannot contact the prescribing physician, the pharmacist may give…