Prior Authorization

Prior authorization is one of FutureScripts’ utilization management procedures. It requires that providers receive approval from FutureScripts before prescribing certain medications. This safeguard ensures that the drug prescribed is clinically appropriate for the plan participant and encourages the use of generic or lower-cost brand-name drugs as an alternative. Prior authorization also ensures that drugs prescribed for off-label use are done so in accordance with the Food & Drug Administration guidelines.

NaviNet®

Log on to the NaviNet portal to view an up-to-date list of which drugs require prior authorization, submit a prior authorization request for determination, or take advantage of other helpful features.

Or, download the applicable request form* and fax it to 215-241-3073(local) or 1-888-671-5285(toll-free):