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FLRx Drug Policies
FLRx Drug Policies

The following is a list of our prescription drug policies. If you cannot find a policy for a specific medication, please select the link titled 'Clinical Review Prior Authorization' from the list below.

  • Comment On Our Policies - To ensure that the development of our drug policies occurs through an open and collaborative process, we invite practitioners to review and comment on our policies.  
  • Non-FDA Approved Drugs - Follow this link to view a list of Non-FDA Approved Drugs.
  • Medicaid Managed Care and Child Health Plus Members -
    * Medical benefit (Medical Specialty Drugs) - The Health Plan utilizes Centene for review of Medical Specialty Drugs for Medicaid Managed Care and Child Health Plus members. Follow this link to Drug Policies for Medicaid Managed Care and Child Health Plus Members
    * Pharmacy benefit drugs - Excellus BlueCross BlueShield continues to manage the pharmacy benefit for Medicaid Managed Care and Child Health Plus members. Use the Excellus Pharmacy Management Drug Policies below.