Pharmacy Benefit Medications

Prior approval may be required for certain prescription drugs before they can be covered under the pharmacy benefit. Contact CVS Caremark at 1 (800) 624-5060 to request prior-approval or to obtain a list of the drugs that require prior-approval on the pharmacy benefit.

Medical Benefit Medications

The following Medical Benefit Medications require prior approval for Blue Cross and Blue Shield Federal Employee Program® (BCBS FEP®) members on Standard Option, Basic Option and FEP Blue Focus plans.

  • Medication-specific fax forms are located next to the medication name in the list below
  • Fax completed forms to 1 (844) 652-8285

FEP Medical Policy Manual

View associated policies on the FEP website. For questions about these policies, contact FEP Provider Service at 1 (877) 668-4654.

Search tips:

  • Find Fasenra and Nucala policies using the search term “IL-5 Antagonists”
  • Find Simponi Aria using search term “Simponi”
  • Find branded leuprolide products such as Lupron and Eligard using the search term “leuprolide”