Sample Notes Page - CareFirst BlueCross BlueShield
Prescription Drug Detail

Brand Name
Brand Tier
Generic Name
Generic Tier
NUVIGIL
 
(Tier 3)
 
Not
Available
Not
Available

Prior Authorization Required: Yes
Quantity Limit: No
Category: Narcolepsy
Maintenance Drug: No
Notes: This medication requires Prior Authorization. Please have your physician call 1-800-314-2872 before prescribing this medication.
Attachments: Provigil, Nuvigil.pdf