If you have prescribed or are prescribing one of these drugs for a MedBlue RxSM or MedBlue RxSM Plus member, you can click on the name of the medication and print and complete the form and fax it to the Prior Authorizations department at 888-836-0730. Drugs with an asterisk are only included on the MedBlue Rx Plus plan. All other drugs apply to both MedBlue Rx and MedBlue Rx Plus.
Please note: Some drugs do not have prior authorization forms available online. For copies of these forms, please call Caremark Part D Services at 800-294-5979. On behalf of BlueCross BlueShield of South Carolina, Caremark administers the Prior Authorization program. Caremark is an independent company that manages pharmacy benefits.
