SelectHealth Pharmacy Provider Reference Manual

For detailed information regarding SelectHealth Pharmacy guidelines, please see theĀ SelectHealth Pharmacy Provider Reference Manual

Pharmacy Tools

For additional pharmacy information including RxSelect and RxCore Prescription Drug Lists, please click here.

Drugs with Special Requirements

Some drugs have special requirements that must be met before SelectHealth will cover them.

  • Step therapy - Requires the provider to first prescribe alternative options that are generally more cost effective without compromising quality. Step therapy may be waived if determined to be medically necessary.
  • Preauthorization is required for certain drugs. This process must be completed by the provider before a prescription can be filled.

If the physician believes that a certain medication is required that is not on the members formulary, normally requires step therapy, or exceeds a quantity limit, he or she may request an exception through the prior authorization process.

Commercial Plan Drugs with Special Requirements

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