Get Prior Authorization Request Form/ Interferons/ Hepatitis ... - OptumRx

Basic Information Required for the Prior Authorization Request The name and Medical Assistance ID number (i.e., ACCESS card number) of the beneficiary. The name and phone number of the contact person at the prescriber's office. The prescriber's specialty or field of practice.

Please have the doctor or a qualified member of the office staff complete the next page(s) and fax the completed form to 1-844-403-1024. If you have questions or want to speak with an Optum Rx Prior Authorization Advocate, call 1-800-711-4555.

Submitting a PA request to OptumRx via phone or fax above. For urgent requests, please call us at 1-800-711-4555. (Hours: 5am PST to 10pm PST, Monday through Friday.)

OptumRx® and CVS Pharmacy® make it easy for you to get your maintenance medications and may save you money. 1 The OptumRx CVS90 program allows you to get 90-day supplies of your medications at nearly 9,700 CVS Pharmacy locations or through OptumRx home delivery — the choice is yours.

The healthcare provider is usually responsible for initiating prior authorization by submitting a request form to a patient's insurance provider. As mentioned in the “How does prior authorization work?” section above, this will then often prompt a time-consuming back and forth between the provider and payer.

Call HealthSelectSM PDP customer service at Optum Rx toll-free at 1-855-828-9834 (TTY: 711). What do I do if my medication needs a PA? To begin the PA process, you can: • Let your doctor know that a PA is needed for your medication. Call Optum Rx toll-free at 1-855-828-9834 (TTY: 711).

All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. Prescription Solutions by OptumRx, the company that administers our health plan's pharmacy benefits, has completed its name change to OptumRx. They are now OptumRx.

Assuming you're using a medical provider who participates in your health plan's network, the medical provider's office will make the prior authorization request and work with your insurer to get approval, including handling a possible need to appeal a denial.

OptumRx and BriovaRx are subsidiaries of UnitedHealth Group. UnitedHealthcare and the dimensional U logo are trademarks of UnitedHealth Group Incorporated. All other trademarks are the property of their respective owners. Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates.

Optum Rx Prior Authorization Guidelines The ePA solution supports all forms of PA and formulary exception requests. Exclusions may include cost reduction requests such as tiering exception, copay waiver, and tier cost sharing. To submit these requests, please contact our PA department at 1-800-711-4555.

For example, CVS Health operates an insurer (Aetna) and its well-known retail pharmacy chain, as well as CVS Caremark, the PBM subsidiary. Cigna Corp. owns Express Scripts, and UnitedHealth Group, the parent company of UnitedHealthcare, owns Optum Rx.

Prescriptions: Most prescription orders are shipped via USPS First Class Mail. Once OptumRx receives your complete order for a new prescription, your medications should arrive within ten business days. Completed refill orders should arrive to your home in about seven business days.

Basic Information Required for the Prior Authorization Request The name and Medical Assistance ID number (i.e., ACCESS card number) of the beneficiary. The name and phone number of the contact person at the prescriber's office. The prescriber's specialty or field of practice.

Please have the doctor or a qualified member of the office staff complete the next page(s) and fax the completed form to 1-844-403-1024. If you have questions or want to speak with an Optum Rx Prior Authorization Advocate, call 1-800-711-4555.

Submitting a PA request to OptumRx via phone or fax above. For urgent requests, please call us at 1-800-711-4555. (Hours: 5am PST to 10pm PST, Monday through Friday.)

OptumRx® and CVS Pharmacy® make it easy for you to get your maintenance medications and may save you money. 1 The OptumRx CVS90 program allows you to get 90-day supplies of your medications at nearly 9,700 CVS Pharmacy locations or through OptumRx home delivery — the choice is yours.

The healthcare provider is usually responsible for initiating prior authorization by submitting a request form to a patient's insurance provider. As mentioned in the “How does prior authorization work?” section above, this will then often prompt a time-consuming back and forth between the provider and payer.

Call HealthSelectSM PDP customer service at Optum Rx toll-free at 1-855-828-9834 (TTY: 711). What do I do if my medication needs a PA? To begin the PA process, you can: • Let your doctor know that a PA is needed for your medication. Call Optum Rx toll-free at 1-855-828-9834 (TTY: 711).

All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. Prescription Solutions by OptumRx, the company that administers our health plan's pharmacy benefits, has completed its name change to OptumRx. They are now OptumRx.

Assuming you're using a medical provider who participates in your health plan's network, the medical provider's office will make the prior authorization request and work with your insurer to get approval, including handling a possible need to appeal a denial.

OptumRx and BriovaRx are subsidiaries of UnitedHealth Group. UnitedHealthcare and the dimensional U logo are trademarks of UnitedHealth Group Incorporated. All other trademarks are the property of their respective owners. Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates.

Optum Rx Prior Authorization Guidelines The ePA solution supports all forms of PA and formulary exception requests. Exclusions may include cost reduction requests such as tiering exception, copay waiver, and tier cost sharing. To submit these requests, please contact our PA department at 1-800-711-4555.

For example, CVS Health operates an insurer (Aetna) and its well-known retail pharmacy chain, as well as CVS Caremark, the PBM subsidiary. Cigna Corp. owns Express Scripts, and UnitedHealth Group, the parent company of UnitedHealthcare, owns Optum Rx.

Prescriptions: Most prescription orders are shipped via USPS First Class Mail. Once OptumRx receives your complete order for a new prescription, your medications should arrive within ten business days. Completed refill orders should arrive to your home in about seven business days.