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Select
Coverage and then Coverage.
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In the Check Coverage section, select View All.
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Select Drug (Prescription) and then Drug.
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In the Member drop-down menu, select a plan member.
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In the Drug Details field, type the medication you are looking for.
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Select Continue.
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Select the medication you are looking for and select Access Form.
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On the ProviderConnect page that appears, enter the name of the drug you are looking for and select Search.
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Select Download.
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On the Navigation Bar, select Coverage and then Check Coverage.
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In the Explore by Category section, select Drug (Prescription).
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In the Plan member drop-down menu, select Plan Member.
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In the Drug name field, enter the drug you are looking for.
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Select Search.
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Find the medication you are looking for and select View Details.
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On the Exception Drug Requires Authorization screen, select Access Form.
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On the ProviderConnect page that appears, enter the name of the drug you are looking for and select Search.
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Select Download.