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Your doctor should consult the Drug List when prescribing drugs for you. This may help lower your out-of-pocket costs. You, your prescribing health care provider, or your authorized representative, can ask for a Drug List exception if your drug is not on or is being removed from the Drug List, or the drug required as part of step therapy or dispensing limits has been found to be or likely to be not right for you or does not work as well in treating your condition. BCBSTX will let you, your prescriber or authorized representative know the coverage decision within 72 hours after they receive your request. If the coverage request is denied, BCBSTX will let you and your prescriber or authorized representative know why it was denied and offer you a covered alternative drug if applicable. These drug lists are a list of drugs considered to be safe and effective.
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