Spring 2007 D&E WAIVER Presented by New Mexico Medicaid Utilization Review Blue Cross Blue Shield of New Mexico Prior Authorization Requests US Mail P.O. Box 27950 Albuquerque NM 87125-7950 Delivery Services (e.g., FedEx) 4373 Alexander Boulevard NE Albuquerque NM 87107 Hand-Carried ...
Generally, drugs on lower-number tiers cost less. The tiers are: Tier 1 –Preferred Generic Drugs Tier 2 –Generic Drugs Tier 3 –Preferred Brand Drugs Tier 4 –Non-Preferred Drugs Tier 5 –Specialty Drugs Prior Authorization, Step Therapy and Quantity Limits Please read the formulary ...