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Medication Pre-authorization

PEHP has chosen specific prescription drugs and specialty medications to require pre-authorization. These medications were chosen due to their high potential for safety issues, adverse reactions, contraindications, misuse, opportunity to use first line therapy, or cost.

To obtain pre-authorization, your physician must contact PEHP's Customer Service. The provider will be directed to PEHP's or Medco's pharmacy pre-authorization phone line.

Providers may download pre-authorization forms on myPEHP for Providers.

Approval or denial will be communicated to the provider's office. You may also contact PEHP's Customer Service Department for the status of the physician's request. Pre-authorization does not guarantee payment. Coverage is subject to eligibility, benefit coverage, and pre-authorization limitations.

Listed below are medications that require pre-authorization as well as the administrator of the authorization.
*The pre-authorization list may be subject to change. Members may always contact PEHP's Customer Service Department for pre-authorization information on any medication.

Drug name Administrator Physician pre-authorization
phone number
Member inquiry phone number
Adagen PEHP Pharmacy (801) 366-7555 (800) 765-7347
Adderall, XR (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Afinitor PEHP Pharmacy (801) 366-7555 (800) 765-7347
Aldurazyme PEHP Pharmacy (801) 366-7555 (800) 765-7347
Alferon-N Medco (800) 753-2851 (800) 903-4725
Allegra PEHP Pharmacy (801) 366-7555 (800) 765-7347
Ambien CR PEHP Pharmacy (801) 366-7555 (800) 765-7347
Amevive PEHP Pharmacy (801) 366-7555 (800) 765-7347
Amitiza PEHP Pharmacy (801) 366-7555 (800) 765-7347
Amphetamine Salt (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Androderm PEHP Pharmacy (801) 366-7555 (800) 765-7347
Androgel PEHP Pharmacy (801) 366-7555 (800) 765-7347
Anzemet PEHP Pharmacy (801) 366-7555 (800) 765-7347
Anzemet Inj. PEHP Pharmacy (801) 366-7555 (800) 765-7347
Apokyn PEHP Pharmacy (801) 366-7555 (800) 765-7347
Aralast PEHP Pharmacy (801) 366-7555 (800) 765-7347
Aranesp PEHP Pharmacy (801) 366-7555 (800) 765-7347
Arcalyst PEHP Pharmacy (801) 366-7555 (800) 765-7347
Arranon PEHP Pharmacy (801) 366-7555 (800) 765-7347
Arzerra PEHP Pharmacy (801) 366-7555 (800) 765-7347
Avastin PEHP Pharmacy (801) 366-7555 (800) 765-7347
Avonex PEHP Pharmacy (801) 366-7555 (800) 765-7347
Betaseron PEHP Pharmacy (801) 366-7555 (800) 765-7347
Bexxar PEHP Pharmacy (801) 366-7555 (800) 765-7347
Boniva IV PEHP Pharmacy (801) 366-7555 (800) 765-7347
Buprenorphine PEHP Pharmacy (801) 366-7555 (800) 765-7347
Byetta PEHP Pharmacy (801) 366-7555 (800) 765-7347
Carimune PEHP Pharmacy (801) 366-7555 (800) 765-7347
Cerezyme PEHP Pharmacy (801) 366-7555 (800) 765-7347
Chantix PEHP Pharmacy (801) 366-7555 (800) 765-7347
Chenodal PEHP Pharmacy (801) 366-7555 (800) 765-7347
Chorionic Gonadotropin PEHP Pharmacy (801) 366-7555 (800) 765-7347
Cimzia PEHP Pharmacy (801) 366-7555 (800) 765-7347
Concerta (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Copaxone PEHP Pharmacy (801) 366-7555 (800) 765-7347
Copegus PEHP Pharmacy (801) 366-7555 (800) 765-7347
Crinone PEHP Pharmacy (801) 366-7555 (800) 765-7347
Cymbalta PEHP Pharmacy (801) 366-7555 (800) 765-7347
Cytogam PEHP Case Management (801) 366-7555 (800) 765-7347
D.H.E. PEHP Pharmacy (801) 366-7555 (800) 765-7347
Dacogen PEHP Pharmacy (801) 366-7555 (800) 765-7347
Daytrana (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
DDAVP Nasal spray (Under age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
DDAVP Tablets (Under age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Degarelix PEHP Pharmacy (801) 366-7555 (800) 765-7347
Delatestryl PEHP Pharmacy (801) 366-7555 (800) 765-7347
Depotestosterone PEHP Pharmacy (801) 366-7555 (800) 765-7347
Desmopressin Nasal spray (Under age 19) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Desmopressin Tablets (Under age 19) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Desoxyn (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Dexedrine (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Dexmethylphenidate (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Dextroamphetamine (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Dextrostat (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Differin (After age 27) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Differin PAD (After age 27) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Differin Solution (After age 27) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Dihydroergotamine PEHP Pharmacy (801) 366-7555 (800) 765-7347
Dronabinol PEHP Pharmacy (801) 366-7555 (800) 765-7347
Elaprase PEHP Pharmacy (801) 366-7555 (800) 765-7347
Enbrel PEHP Pharmacy (801) 366-7555 (800) 765-7347
Epogen PEHP Pharmacy (801) 366-7555 (800) 765-7347
Epoprostenol PEHP Pharmacy (801) 366-7555 (800) 765-7347
Erbitux PEHP Pharmacy (801) 366-7555 (800) 765-7347
Fabrazyme PEHP Pharmacy (801) 366-7555 (800) 765-7347
Fentanyl Citrate Lozenge PEHP Pharmacy (801) 366-7555 (800) 765-7347
Fentora PEHP Pharmacy (801) 366-7555 (800) 765-7347
Fexofenadine PEHP Pharmacy (801) 366-7555 (800) 765-7347
Flebogamma PEHP Pharmacy (801) 366-7555 (800) 765-7347
Flolan PEHP Pharmacy (801) 366-7555 (800) 765-7347
Flonase (Brand name only) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Focalin, XR (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Folotyn PEHP Pharmacy (801) 366-7555 (800) 765-7347
Forteo PEHP Pharmacy (801) 366-7555 (800) 765-7347
Fuzeon PEHP Pharmacy (801) 366-7555 (800) 765-7347
Gamastan S/D PEHP Case Management (801) 366-7555 (800) 765-7347
Gamimune PEHP Pharmacy (801) 366-7555 (800) 765-7347
Gammagard PEHP Pharmacy (801) 366-7555 (800) 765-7347
Gammar-IV PEHP Pharmacy (801) 366-7555 (800) 765-7347
Gamunex PEHP Pharmacy (801) 366-7555 (800) 765-7347
Genotropin PEHP Pharmacy (801) 366-7555 (800) 765-7347
Gleevec PEHP Pharmacy (801) 366-7555 (800) 765-7347
Herceptin PEHP Pharmacy (801) 366-7555 (800) 765-7347
HP Acthar Gel PEHP Case Management (801) 366-7555 (800) 765-7347
Humatrope PEHP Pharmacy (801) 366-7555 (800) 765-7347
Humira PEHP Pharmacy (801) 366-7555 (800) 765-7347
Hycamptin Capsules PEHP Pharmacy (801) 366-7555 (800) 765-7347
Hycamptin IV PEHP Case Management (801) 366-7555 (800) 765-7347
Ilaris PEHP Pharmacy (801) 366-7555 (800) 765-7347
Immune Globulin IV PEHP Pharmacy (801) 366-7555 (800) 765-7347
Increlex (Under age 22) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Infergen Medco (800) 753-2851 (800) 903-4725
Intelence PEHP Pharmacy (801) 366-7555 (800) 765-7347
Intron-A PEHP Pharmacy (801) 366-7555 (800) 765-7347
Invega PEHP Pharmacy (801) 366-7555 (800) 765-7347
Iplex PEHP Pharmacy (801) 366-7555 (800) 765-7347
Iressa PEHP Pharmacy (801) 366-7555 (800) 765-7347
Itraconazole PEHP Pharmacy (801) 366-7555 (800) 765-7347
Iveegam PEHP Pharmacy (801) 366-7555 (800) 765-7347
Ixempra PEHP Pharmacy (801) 366-7555 (800) 765-7347
Kineret PEHP Pharmacy (801) 366-7555 (800) 765-7347
Kuvan PEHP Pharmacy (801) 366-7555 (800) 765-7347
Lamisil PEHP Pharmacy (801) 366-7555 (800) 765-7347
Lansoprazole PEHP Pharmacy (801) 366-7555 (800) 765-7347
Leukine PEHP Pharmacy (801) 366-7555 (800) 765-7347
Leuprolide PEHP Pharmacy (801) 366-7555 (800) 765-7347
Lucentis PEHP Pharmacy (801) 366-7555 (800) 765-7347
Lunesta PEHP Pharmacy (801) 366-7555 (800) 765-7347
Lupron, Depot PEHP Pharmacy (801) 366-7555 (800) 765-7347
Macugen PEHP Pharmacy (801) 366-7555 (800) 765-7347
Marinol PEHP Pharmacy (801) 366-7555 (800) 765-7347
Metadate, CD (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Methylin ER (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Methylphenidate, SR (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Mitoxantrone PEHP Pharmacy (801) 366-7555 (800) 765-7347
Mozobil PEHP Case Management (801) 366-7555 (800) 765-7347
Myozyme PEHP Pharmacy (801) 366-7555 (800) 765-7347
Naglazyme PEHP Pharmacy (801) 366-7555 (800) 765-7347
Nasacort AQ PEHP Pharmacy (801) 366-7555 (800) 765-7347
Nasalide PEHP Pharmacy (801) 366-7555 (800) 765-7347
Nasarel (Brand name only) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Nebcin PEHP Pharmacy (801) 366-7555 (800) 765-7347
Neulasta PEHP Pharmacy (801) 366-7555 (800) 765-7347
Neumega PEHP Pharmacy (801) 366-7555 (800) 765-7347
Neupogen PEHP Pharmacy (801) 366-7555 (800) 765-7347
Nexavar PEHP Pharmacy (801) 366-7555 (800) 765-7347
Nicotrol Inhaler and Spray PEHP Pharmacy (801) 366-7555 (800) 765-7347
Norditropin PEHP Pharmacy (801) 366-7555 (800) 765-7347
Novantrone PEHP Pharmacy (801) 366-7555 (800) 765-7347
Novarel PEHP Pharmacy (801) 366-7555 (800) 765-7347
Noxafil PEHP Pharmacy (801) 366-7555 (800) 765-7347
NPlate PEHP Pharmacy (801) 366-7555 (800) 765-7347
Nuvigil PEHP Pharmacy (801) 366-7555 (800) 765-7347
Octagam PEHP Pharmacy (801) 366-7555 (800) 765-7347
Octreotide PEHP Pharmacy (801) 366-7555 (800) 765-7347
Oforta PEHP Pharmacy (801) 366-7555 (800) 765-7347
Omnaris PEHP Pharmacy (801) 366-7555 (800) 765-7347
Omnitrope PEHP Pharmacy (801) 366-7555 (800) 765-7347
Ondansetron PEHP Pharmacy (801) 366-7555 (800) 765-7347
Opana PEHP Pharmacy (801) 366-7555 (800) 765-7347
Opana ER PEHP Pharmacy (801) 366-7555 (800) 765-7347
Orencia PEHP Pharmacy (801) 366-7555 (800) 765-7347
Oxycontin PEHP Pharmacy (801) 366-7555 (800) 765-7347
Panglobulin PEHP Pharmacy (801) 366-7555 (800) 765-7347
Panretin Gel PEHP Pharmacy (801) 366-7555 (800) 765-7347
Peg-Intron PEHP Pharmacy (801) 366-7555 (800) 765-7347
Pegasys PEHP Pharmacy (801) 366-7555 (800) 765-7347
Polygam PEHP Pharmacy (801) 366-7555 (800) 765-7347
Pregnyl PEHP Pharmacy (801) 366-7555 (800) 765-7347
Prevacid PEHP Pharmacy (801) 366-7555 (800) 765-7347
Prilosec (Brand name only) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Pristiq PEHP Pharmacy (801) 366-7555 (800) 765-7347
Privigen PEHP Pharmacy (801) 366-7555 (800) 765-7347
Procheive PEHP Pharmacy (801) 366-7555 (800) 765-7347
Procrit PEHP Pharmacy (801) 366-7555 (800) 765-7347
Profasi HP PEHP Pharmacy (801) 366-7555 (800) 765-7347
Prolastin PEHP Pharmacy (801) 366-7555 (800) 765-7347
Proleukin PEHP Case Management (801) 366-7555 (800) 765-7347
Promacta PEHP Pharmacy (801) 366-7555 (800) 765-7347
Provigil PEHP Pharmacy (801) 366-7555 (800) 765-7347
Pulmozyme PEHP Pharmacy (801) 366-7555 (800) 765-7347
Ranexa PEHP Pharmacy (801) 366-7555 (800) 765-7347
Rebetol PEHP Pharmacy (801) 366-7555 (800) 765-7347
Rebif PEHP Pharmacy (801) 366-7555 (800) 765-7347
Reclast PEHP Pharmacy (801) 366-7555 (800) 765-7347
Remicade PEHP Pharmacy (801) 366-7555 (800) 765-7347
Remodulin PEHP Pharmacy (801) 366-7555 (800) 765-7347
Retin-A (After age 27) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Retin-A Liquid (After age 27) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Retin-A Micro (After age 27) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Revatio PEHP Pharmacy (801) 366-7555 (800) 765-7347
Revlimid PEHP Pharmacy (801) 366-7555 (800) 765-7347
Rhinocort AQ PEHP Pharmacy (801) 366-7555 (800) 765-7347
Ribapak PEHP Pharmacy (801) 366-7555 (800) 765-7347
Ribasphere PEHP Pharmacy (801) 366-7555 (800) 765-7347
Ribavirin PEHP Pharmacy (801) 366-7555 (800) 765-7347
Ritalin, SR, LA (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Rituxan PEHP Pharmacy (801) 366-7555 (800) 765-7347
Roferon-A Medco (800) 753-2851 (800) 903-4725
Rozerem PEHP Pharmacy (801) 366-7555 (800) 765-7347
Samsca PEHP Pharmacy (801) 366-7555 (800) 765-7347
Sancuso Patch PEHP Pharmacy (801) 366-7555 (800) 765-7347
Sandostatin, LAR PEHP Pharmacy (801) 366-7555 (800) 765-7347
Selzentry PEHP Pharmacy (801) 366-7555 (800) 765-7347
Simponi PEHP Pharmacy (801) 366-7555 (800) 765-7347
Singulair PEHP Pharmacy (801) 366-7555 (800) 765-7347
Soliris PEHP Pharmacy (801) 366-7555 (800) 765-7347
Somatuline PEHP Pharmacy (801) 366-7555 (800) 765-7347
Somavert PEHP Pharmacy (801) 366-7555 (800) 765-7347
Sporanox PEHP Pharmacy (801) 366-7555 (800) 765-7347
Sprycel PEHP Pharmacy (801) 366-7555 (800) 765-7347
Stimate Nasal Spray (Under age 19) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Strattera (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Striant PEHP Pharmacy (801) 366-7555 (800) 765-7347
Suboxone PEHP Pharmacy (801) 366-7555 (800) 765-7347
Subutex PEHP Pharmacy (801) 366-7555 (800) 765-7347
Supprelin LA PEHP Pharmacy (801) 366-7555 (800) 765-7347
Sutent PEHP Pharmacy (801) 366-7555 (800) 765-7347
Synagis PEHP Pharmacy (801) 366-7555 (800) 765-7347
Tasigna PEHP Pharmacy (801) 366-7555 (800) 765-7347
Tazorac (After age 27) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Temodar PEHP Pharmacy (801) 366-7555 (800) 765-7347
Terbinafine PEHP Pharmacy (801) 366-7555 (800) 765-7347
Testim PEHP Pharmacy (801) 366-7555 (800) 765-7347
Testopel PEHP Pharmacy (801) 366-7555 (800) 765-7347
Testosterone Cypionate PEHP Pharmacy (801) 366-7555 (800) 765-7347
Testosterone Enthanate PEHP Pharmacy (801) 366-7555 (800) 765-7347
Thalomid PEHP Pharmacy (801) 366-7555 (800) 765-7347
Tobi PEHP Pharmacy (801) 366-7555 (800) 765-7347
Torisel PEHP Pharmacy (801) 366-7555 (800) 765-7347
Tracleer PEHP Pharmacy (801) 366-7555 (800) 765-7347
Treanda PEHP Pharmacy (801) 366-7555 (800) 765-7347
Trelstar LA DEPOT PEHP Pharmacy (801) 366-7555 (800) 765-7347
Tretinoin (After age 27) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Tykerb PEHP Pharmacy (801) 366-7555 (800) 765-7347
Tysabri PEHP Pharmacy (801) 366-7555 (800) 765-7347
Tyvaso PEHP Pharmacy (801) 366-7555 (800) 765-7347
Vantas PEHP Pharmacy (801) 366-7555 (800) 765-7347
Vectibix PEHP Pharmacy (801) 366-7555 (800) 765-7347
Velcade PEHP Pharmacy (801) 366-7555 (800) 765-7347
Venoglobulin S PEHP Pharmacy (801) 366-7555 (800) 765-7347
Ventavis PEHP Pharmacy (801) 366-7555 (800) 765-7347
Veramyst PEHP Pharmacy (801) 366-7555 (800) 765-7347
Viadur PEHP Pharmacy (801)366-7555 (800) 765-7347
Vidaza PEHP Pharmacy (801) 366-7555 (800) 765-7347
Vivaglobin PEHP Pharmacy (801) 366-7555 (800) 765-7347
Vivitrol, M PEHP Pharmacy (801) 366-7555 (800) 765-7347
Voltaren Gel PEHP Pharmacy (801) 366-7555 (800) 765-7347
Votrient PEHP Pharmacy (801) 366-7555 (800) 765-7347
Vyvanse (After age 18) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Wellbutrin SR, XL (Brand name only) PEHP Pharmacy (801) 366-7555 (800) 765-7347
Xeloda PEHP Pharmacy (801) 366-7555 (800) 765-7347
Xenazine PEHP Pharmacy (801) 366-7555 (800) 765-7347
Xolair PEHP Pharmacy (801) 366-7555 (800) 765-7347
Xyrem PEHP Pharmacy (801) 366-7555 (800) 765-7347
Zavesca PEHP Pharmacy (801) 366-7555 (800) 765-7347
Zegerid PEHP Pharmacy (801) 366-7555 (800) 765-7347
Zemaira PEHP Pharmacy (801) 366-7555 (800) 765-7347
Zetia PEHP Pharmacy (801) 366-7555 (800) 765-7347
Zevalin PEHP Pharmacy (801) 366-7555 (800) 765-7347
Zofran PEHP Pharmacy (801) 366-7555 (800) 765-7347
Zoladex PEHP Pharmacy (801) 366-7555 (800) 765-7347
Zolinza PEHP Pharmacy (801) 366-7555 (800) 765-7347
Zometa INJ PEHP Pharmacy (801) 366-7555 (800) 765-7347
Zorbtive PEHP Pharmacy (801) 366-7555 (800) 765-7347
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