Home > Clinical & Pharmacy
Web Content Viewer
Web Content Viewer
eForms updated with gender, step therapy exception information
April 12, 2024

This article is for prescribers caring for our members

Please share with staff or other clinicians who request medication authorizations

We have updated the following eForms used to request authorization for medications you prescribe. All health insurers in Massachusetts were required1 to revise these forms to comply with new step therapy protocol requirements. Please start using these eForms for your medication authorization requests. Once you’ve completed the eForm and click Submit, you’ll get a confirmation that your request has been submitted to us for review.

What’s new?

The eForms now include:

Expanded gender inclusivity
An “Exceptions to Step Therapy” section used to request coverage for a higher step medication when the lower step alternative is not clinically appropriate.



Contact Pharmacy Operations at 1-800-366-7778.

1. MGL Chapter 176O, Section 12A.