We require providers to request prior authorization for certain medicines, such as specialty drugs, to ensure certain clinical criteria are met.

1 окт. 2024 г. · How long does the prior authorization process take? · It typically takes 24 to 72 hours. · You may check the status of your prior authorization ...

Prior Authorization Requests for Medical Care and Medications · 1-888-657-6061 (TTY: 711) · 8 a.m. to 5 p.m. Central Time, Monday through Friday · Contact Us.

Prior authorization is a process to ensure appropriate prescribing and use of a drug before it will be covered. Coverage may be approved after certain criteria ...

Prior authorization is required for some members/services/drugs before services are rendered to confirm medical necessity as defined by the member's health ...

Drug Specific Prior Authorization Form · Prescription Drug Claim Form · Texas Standard Prior Authorization Request Form for Prescription Drug Benefits. Find a ...

If you have questions about the prior authorization requirements, please call the Prescription Drug Service Team at 601-664-4998 or 1-800-551-5258. If you are a ...

Medications That Require Prior Authorization are prescription medications that require your doctor to obtain approval from us in order to be covered.

You can submit a prior authorization request through logging in to the provider portal or by faxing in the global request form (PDF).

Prior authorization (PA) and step therapy (ST) encourage safe, cost-effective medication use by allowing coverage when certain conditions are met.