Get Eocid

Filling out the Eocid, or the general prior authorization form, online is an essential process for ensuring your patient's medication needs are met. This comprehensive guide will walk you through each section of the form to help you submit your request effectively.

Follow the steps to complete the Eocid form online.

1. Click the ‘Get Form’ button to access the Eocid and open it in your preferred online editor.
2. Begin by entering the patient's information. Include the patient name, date of birth, member number, and contact details as required.
3. Next, provide the prescriber’s details. Enter the prescriber name, NPI number, office contact, and group number.
4. Fill in the patient's address details and include a contact phone number for the member.
5. Indicate if the request is urgent by checking the appropriate box for expedited/urgent approval.
6. Enter the drug name and specific directions for use as prescribed.
7. Respond to the questions regarding the patient's diagnosis, previous medication trials, and any issues faced with formulary alternatives. Provide thorough and clear answers.
8. If medical necessity is a factor, attach any supporting documents such as peer-reviewed journal articles and clinical statements.
9. Review all entered information for accuracy, ensuring that no fields are left blank as this may delay the review process.
10. Finally, the prescriber must sign the form and include the date. Save your changes, then choose to download, print, or share the completed form as needed.

Complete the Eocid form online today to ensure that your patient's medication request is processed promptly.