This section explains prior authorizations, excluded medications and quantity limitations on select drugs. The following medications require Prior Authorization. For more information, please talk to your doctor or contact Member Services at the phone number on the back of your ID card. This is to ensure safe and appropriate use and to minimize potential waste of expensive medications. Mail Service Harvard Pilgrim members taking maintenance drugs can take advantage of money savings and added convenience by ordering medications through our mail order service .
Most members have benefits that offer a copay incentive to use the mail service option.
For some medications, 90-day supplies are not appropriate and may lead to overuse of medications or potential waste.