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Prescription Drug Information

Utilization Management

This program incorporates utilization management tools to encourage appropriate and cost-effective use of Part D medications. A team of doctors and pharmacists developed these requirements and limits to help us provide quality coverage to our members. These tools include‚ but are not limited to: prior authorization‚ clinical edits‚ quantity limits and step therapy.

You can find out if your drug is subject to any one of these tools by looking in the Care1st Pharmacy Formulary or see below for online tools:


Online Tools:





Prescription Drug Information · Medication Therapy Management (MTM) Program · Quality Assurance