Rx Benefits Prior Authorization Form
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Request to expedite review if t Service code if available (hcpcs/cpt) new prior authorization. Get your forms, ask questions,. Looking for the prior authorization form ?
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Web prior (rx) authorization forms. Web rxpreferred provider resources downloadable forms & other information. Web this can be located on your medical id card (if you have a combined medical and pharmacy card), on your pharmacy card, or by calling the member services prior authorization line at 888.608.8851.