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22 Out, 2024

Changes are being made to the Medical Drug Review (MDR) program

As part of our ongoing efforts to make high-quality and affordable healthcare available to our members, Blue Cross & Blue Shield of Rhode Island (BCBSRI) regularly reviews the list of prescription drugs we cover under our medical benefit. Our goal is to make sure that our members continue to have access to effective medications at the lowest possible cost. As a result, the following changes are being made to the Medical Drug Review (MDR) program. Existing and new prior authorization reviews will continue to be handled by our pharmacy benefits manager, Prime Therapeutics. For drug specific prior authorization details, please refer to the drug criteria in the provider administered medication criteria section Prior Authorization (myprime.com)

Medical Drug Review table