Who determines the mail-order list?
The health plan determines which drugs will be on the mail-order list. The mail-order list is a list of certain maintenance medications that are appropriate for long-term use for the majority of members. Not all medications prescribed for a long-term condition are considered maintenance medications. So we do not include them on the mail-order list. The purpose of the mail-order list is to have a consistent and convenient way to help members follow their medication treatment plans. At the same time we want to limit the risk of adverse effects, waste or abuse. We will not make individual exceptions to the standard mail-order list.
