Prior Authorization

Drugs to treat depression

There are many generic drugs available to treat depression. Medical guidelines support using these products before using a brand-name antidepressant drug. Formulary and non-formulary brand-name drugs will require a prior authorization unless one of the available generic drugs has been tried first. An electronic claims edit at the pharmacy will determine if a member has been receiving the brand-name medication or has tried a required generic. In either case, the requested brand-name drug will be approved. Members new to BCBSKS prescription drug coverage will not have a claim history to automatically approve the brand-name drugs. Therefore, a prior authorization process is available to review coverage requests.

The table below shows the generic drugs available, as well as the brand-name drugs that will require a prior authorization if a generic has not been used.

Brand Medications Requiring Generic Antidepressant First or Prior Authorization Generic Medications
  • Aplenzin
  • Celexa
  • Cymbalta
  • Effexor
  • Effexor XR
  • Lexapro
  • Luvox CR
  • Maprotiline
  • Oleptro
  • Paxil
  • Paxil CR
  • Pexeva
  • Pristiq
  • Prozac
  • Remeron
  • Remeron SolTab
  • Venlafaxine ER tablets
    (brand only)
  • Viibryd
  • Wellbutrin
  • Wellbutrin SR
  • Wellbutrin XL
  • Zoloft
  • bupropion IR/SR
  • citalopram
  • fluoxetine
  • mirtazapine
  • paroxetine IR/ER
  • sertraline
  • venlafaxine IR/ER
    (generic only)

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