October 4, 2018
Premera is requiring pre-approval for brand gabapentin products starting November 1, 2018. You can find the complete policy in the medical policies section on our provider website. Quickly find the section of the policy by entering the brand name into the search field on the webpage.
If there’s a medical reason for a patient to remain on their current brand gabapentin medication, you have two options:
- Submit documentation showing the patient tried and “failed” the generic alternatives listed in the medical policy and there’s a medical reason they need to remain on their brand gabapentin medication.
- Call our pharmacy services team at 888-261-1756 for a prescription review and approval. Our pharmacy services team is available 7 days a week and holidays.
Generic prescription gabapentin products are equally effective as their brand counterparts, and much less expensive. We know paying for high-cost medications is a concern for our customers. This policy change is an effort to help our customers find and use affordable alternatives to high-cost medications. Your patients with Premera may start to ask about generic gabapentin alternatives.