To request a drug prior authorization (PA), contact the Minnesota Health Care Programs Prescription Drug PA Agent at 866-205-2818 (phone) or 866-648-4574 (fax).
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z
Abilify MyCite
Actemra
Acthar Gel
Actiq-Abstral-Fentora-Lazanda-Onsolis-Subsys
Adakveo
Aduhelm
Agamree
Akynzeo
Amondys 45
Ampyra
Amrix
Amvuttra
Annovera
Anti-Obesity Medications
Aptiom
Aqneursa
Arcapta
Arikayce
Aristada
Austedo
Ayvakit
Azasite
Banzel
Baxdela
Benlysta
Beovu
Biosimilars
Bosulif
Botulinum Toxins
Brand Preferred Over Generic
Branded Drugs - DAW
Brexafemme
Brineura
Briviact
Bryhali
Bylvay
Camzyos
Capital and Codeine
Carisoprodol
Casgevy
CGRP Antagonists
Cholbam
Cibinqo
Cinqair
Corlanor
Crysvita
Cystaran
Daybue
Dayvigo
Desoxyn
Diabetic testing supplies
Diacomit
Dojolvi
Doptelet
Doxylamine-Pyridoxine Fixed Dose Combinations
Drugs with new or expanded indications
Duavee
Dupixent
Durysta
Duvyzat
Egaten
Egrifta
Elevidys
Elfabrio
Emflaza
Endari
Enjaymo
Enspryng
Eohilia
Epaned
Epidiolex
Eucrisa
Evekeo
Evenity
Evrysdi
Exondys 51
Eylea
Fabhalta
Fasenra
Fenofibrates
Ferriprox
Fexmid
Filsuvez
Fintepla
Fleqsuvy
Fyarro
Fycompa
Galafold
Gattex
Giazo
Givlaari
GnRH agonists for pubertal suppression
Gocovri
Gralise
Grandfathering Definition and Criteria
Grastek
Growth Hormone
Hemady
Hemangeol
Hemgenix
Hepatitis C (effective beginning 3/1/2023)
Hepatitis C (effective beginning 1/1/2025)
Hereditary Angioedema
Hetlioz and Hetlioz LQ
Hospital discharge transition fill
Iclusig
Ilaris
Imcivree
Immunomodulators
Ingrezza
Inqovi
Intuniv
Iqirvo
Izervay
Kalydeco
Kanuma
Kapvay
Kerendia
Keveyis
Kineret
Kisunla
Korlym
Korsuva
Krintafel
Lemtrada
Leqembi
Lidoderm
Livdelzi
Livmarli
Livtencity
Lokelma
Lucemyra
Lucentis
Lutathera
Luxturna
Macrilen
Marinol
Mavenclad
Mayzent
Medication Therapy Management
Mepsevii
Miplyffa
Monjuvi
Mozobil
Mulpleta
Myalept
Naloxone
Nascobal
New drugs and new or nonpreferred dosage forms
Nexviazyme
Nitisinone
Novarel
Nucala
Nucynta
Nuedexta
Nulojix
Nuplazid
Nursing home transition fill
Nurtec ODT
Nuzyra
Ocaliva
Ocrevus
Oleptro
Omeclamox-Pac
Oncology Drugs
Ongentys
Onmel
Onpattro
Ophthalmic Antihistamines
Opiate Combinations
Opioids Long Acting Pain Management Plan
Oracea
Oralair
Oriahnn
Orilissa
Orkambi
Otrexup
Oxbryta
Palforzia
Palynziq
Parsabiv
PCSK9 Inhibitors
Phentolamine
PiaSky
Potiga
Probuphine
Prolia
Provigil, Nuvigil
Pyrukynd
Radicava
Ragwitek
Rasuvo
Ravicti
Rayaldee
Rebyota
Recorlev
Rectiv
Retroactive eligibility
Revatio, Adcirca
Revcovi
Reyvow
Rezdiffra
Rivfloza
Roctavian
Rylaze
Ryplazim
Rystiggo
Samsca
Saphnelo
Scemblix
Scenesse
Secuado
Seroquel XR (regimen review)
Siklos
Silenor
Sinuva
Sirturo
Soliris
Solosec
Soolantra
Spevigo
Spinraza
Spravato
Strensiq
Sunosi
Susvimo
Symdeko
Synagis - MN policy 2024-2025 season
Tarpeyo
Tepezza
Tezspire
Trikafta
Triptan quantity limits
Trogarzo
Trokendi XR
Tryvio
Tyrvaya
Tysabri
Tzield
Ubrelvy
Ultomiris
Ultram ER, Ryzolt ER, ConZip
Uptravi
Vabysmo
Veltassa
Veozah
Vevye
Vijoice
Viltepso
Vimizim
Vivjoa
Vizimpro
Voquezna
Vowst
Voxzogo
Voydeya
Vuity
Vumerity
Vyepti
Vyjuvek
Vyndaqel & Vyndamax
Vyondys 53
Vyvgart
Xcopri
Xenazine
Xenical
Xenleta
Xenpozyme
Xermelo
Xgeva
Xifaxan
Xofluza
Xolair
Xolremdi
Xyrem
Xywav
Zanaflex
Zeposia
Ziana
Zilbrysq
Zinplava
Zolgensma
Zoryve Cream
Ztalmy
Zurzuvae
Zyclara
Zyprexa Relprevv
