Medication must be medically necessary. They must also be cost effective. Necessary, cost effective drugs ordered by a provider are covered. B – UFC/ACC has its own drug list. The list contains drugs needed to meet member needs. This list is called a drug formulary. The formulary includes all medicines approved by AHCCCS. It also covers drugs we believe are necessary. The list includes drug names and explains if prior authorization is needed.
Prior authorization means your provider has requested permission for you to get a special service. B – UFC/ACC must approve these requests before the delivery of services. Prior authorization is approved based on a review of medical need. Our Customer Care Center can provide additional information if you cannot fill your prescription due to prior authorization.
If you need additional information, please contact our Customer Care Center.