There are some procedures and limits that may apply to the medication in our formulary.
Generic Substitutions
The Alliance has a mandatory generic medication program. This program promotes the use of generic over brand-name options, when medically appropriate. When your doctor writes you a prescription for a brand-name medication, your doctor must submit a Prescription Drug Prior Authorization (PA) Request to the Alliance. The Alliance will review the request and will inform the doctor of the decision within one (1) business day.
Step Therapy
In some cases, the Alliance may require you to try a certain medication before we will cover a different medication. Your doctor can request an exception by submitting a Prescription Drug Prior Authorization (PA) Request to the Alliance. The Alliance will review the request and will inform the doctor of the decision within one (1) business day.
Quantity Limits
For certain medication, the Alliance has a limit on the number of pills we will cover. In general, a 30-day supply is covered. If you require a medication that exceeds the limit, your doctor can submit a Prescription Drug Prior Authorization (PA) Request to the Alliance. The Alliance will review the request and will inform the doctor of the decision with one (1) business day.
Prior Authorization (PA) Process
Your doctor may submit a Prescription Drug Prior Authorization (PA) Request to request a medication that is not on the Alliance Medication Formulary or has restrictions. Restrictions may occur when the quantity of medication prescribed is more than the plan allows or if a medication has Step Therapy Requirements. A Medication Review Guideline (also known as criteria) has been developed for these medications and will be referenced upon receipt of your doctor’s request. The Alliance will review the request and will inform the doctor of the decision with one (1) business day.
Exception Process
Your doctor may submit a Prescription Drug Prior Authorization (PA) Request to request a medication that is not on the Alliance Medication Formulary or has restrictions. This request is called an exception request when the Alliance does not have a Medication Review Guideline (also known as criteria) for the medication. The exception request is reviewed on a case-by-case basis and for evidence of medical necessity. The Alliance will review the request and will inform the doctor of the decision with one (1) business day.
If you are an Alliance Group Care member, you can make an exception request online through the Alliance Member Portal or call: