CommercialPrior AuthLow impact
Felbatol (felbamate)
Blue Cross & Blue Shield of Mississippi·MS · Neurology, Pediatrics·Medical Policy
We identified it
Jun 20, 2026
Summary
This is an updated prior authorization policy for Felbatol (felbamate), an anti-epileptic drug. The policy requires prior authorization and specifies that patients must have failed two other anti-epileptic medications before approval, with specific age and diagnosis criteria for coverage.
Action Required
Immediately: Billing team must ensure prior authorization is obtained before prescribing Felbatol (felbamate) for epilepsy patients. Verify patient has documented failure of two other anti-epileptic medications and meets age/diagnosis criteria. Claims will be denied without proper prior authorization.