Medical Benefit Management

Prior Authorization Request Forms for BlueCross^® BlueShield^® of South Carolina

Use the forms below for commonly prescribed buy-and-bill prescriptions and prescriptions filled through a specialty pharmacy (other than CuraScript) that require prior authorization. On behalf of BlueCross, CuraScript assists in the administration of the specialty pharmacy program. CuraScript is an independent company. For CuraScript, use a CuraScript Specialty Referral Form.