Sixty drugs — mainly high-cost medications — will require prior authorization for Federal Employee Program (FEP) members, effective January 1, 2024. The intent is to move the medical necessity review of these drugs from post-service to pre-service.

The codes will appear on the Prior Authorization list for FEP on the Provider Resource Center effective January 1, 2024. The full list of drugs is included on the recent Special Bulletin. Click here to view.