Prior Authorization Request Forms

	Prior Authorization Drugs
	Vista Healthplan’s Pharmacy Formulary has a few drugs which require prior authorization. Prior Authorization is used to promote appropriate utilization, selected high-risk or high-cost medications may require prior authorization by the Plan to be eligible for coverage under the member’s prescription benefit. Go to Prior Authorization FAQs for more information.
Oral and Topical Prior Authorizations Injectables Prior Authorizations Prior Authorization Criteria Step Therapy