Pharmacy Updates / Introduction
Pharmacy Committee Meeting Minutes
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Prior Authorization
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Prior Authorization

Selected medications require prior authorization to be eligible for coverage. These drugs are designated by the PA symbol Prior Authorization in the display of the PDL. Contact our pharmacy call center at 1-800-310-6826 to request coverage prior to writing a prescription for these drugs. The following information should be readily available to facilitate the prior authorization process:

  • Patient’s name, I.D. number, date of birth
  • Patient’s diagnosis
  • Prescriber’s name, address, phone number, fax number
  • Medication requested for prior authorization
  • Medication strength and directions for use
  • Names of specific drugs that have been tried and failed
  • Additional clinical information necessary to substantiate the request