Prior Drug Authorization Search

Please note that the Prior Authorization Drug List is subject to change. Not every Prior Authorization will appear on this list. Please contact the help desk for the most current information: (800) 710 - 9341.

D

Dacogen

Depo-Testosterone

Desonate Gel

Detrol LA

Dexilant

Diovan

Doryx

Doxy

Doxycycline Hyclate

Duexis

Dymista

Dysport