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Online Formulary Authorization Forms

Provider Administrative Policy

Provider Information
Policy Date
February 2008
Revised/October 2014


Our provider administrative policies contain information regarding claims submission, reimbursement, and other information in order to achieve an efficient relationship with our providers. These policies are not an authorization or explanation of benefits. Blue Cross of Idaho retains the right to add to, delete from and otherwise modify this policy in accordance with our provider contracts


Online Formulary Authorization Forms

Blue Cross of Idaho recently updated its Medicare Advantage online formulary to better assist provider's prescription drug authorization requests. Follow the below steps to access the Medicare Advantage online formulary:

  1. Go to
  2. Select Medicare Formulary
  3. Select  Online Formulary Search
  4. Enter zip code
  5. Select the correct plan
  6. Select Drug Search
  7. Enter the drug name and select Search
  8. Select drug in the results 
  9. Select the dosage amount
  10. Select Save
  11. Table will display portions covered under the plan

Coverage information on the medication displays- including prior authorization and quantity limit requirements.

Prior authorization forms can be located on the secure provider portal at  You may also contact Blue Cross of Idaho customer service to obtain prior authorization forms (see MA PAP102 ).

You may also download health plan formularies to your personal digital assistant (PDA). The formulary information, provided by EPOCRATES, is located at the following Web site:

Policy History

Date Action Reason
October 2014 Revised Added clarifying sentence before steps.
November 2008 Revised Language clarification
August 2008 Revised New language

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