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Use medication safely and control your costs

We work with doctors  and pharmacists to develop measures that help control  costs and make sure our members use their medication correctly.

Drug prior authorization

Security Health Plan requires you or your doctor to get prior authorization for certain drugs. This means you will need to get approval from Security Health Plan before you fill your prescription. If you don't get approval, we might not cover the drug.

Drug quantity limits

For certain drugs, Security Health Plan limits the amount of drug covered by your plan.  For example, Security Health Plan provides 9 tablets per 30-day supply of a sumatriptan prescription.

Find out whether your drug is subject to prior authorization or quantity limits by looking in the Security Health Plan formulary.

Find a drug for 2026 HMO-POS plans

 Requesting an exception

If you believe your drug does not need these additional restrictions or limits, you can ask us to make an exception to our coverage rules. See the section, "How do I request an exception to the formulary" described within the plan formulary for more information. 

Learn about exceptions

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Keeping you safe: reviewing prescriptions

We review your prescription drugs make sure you are getting safe and appropriate care. These reviews are especially important for our members who have multiple doctors who prescribe their medications.
 

We review your drugs each time you fill a prescription and on a regular basis by reviewing our records. During these reviews, we look for possible medication errors:

If we identify a medication problem during our drug utilization review, we will work with your doctor to correct the problem. For more information, please view the Security Health Plan quality assurance statement.

Security Health Plan and its agents are not in any way connected with the Medicare program.
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Last updated October 1, 2026