Get Today 39 S Option Prior Auth Forms

Filling out the Today 39 S Option Prior Auth Forms online can be a straightforward process when approached step by step. This guide provides detailed instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Today 39 S Option Prior Auth Forms online.

1. Click ‘Get Form’ button to access the form and open it in your preferred digital editing tool.
2. In the first section, provide your provider information. Include your name, specialty, DEA or TIN, office contact person, office phone, and office fax.
3. Next, fill in the patient information. Ensure to complete all required fields marked with an asterisk, including the patient's name, CIGNA ID, date of birth, street address, and phone number. These are critical for processing.
4. Indicate the medication requested by specifying (), and provide the dose, quantity, and duration of therapy as applicable.
5. Select the method of obtaining the medication (e.g., CIGNA Tel-Drug, retail pharmacy, etc.) and fill in the patient's diagnosis related to the medication use.
6. Answer additional questions regarding the patient's history and any previous responses to therapy, ensuring to check all that apply.
7. In the final section, provide any additional pertinent information that may support the authorization request.
8. Once all fields are completed, review the form for accuracy. Users can then save changes, download, print, or share the form as needed.

Complete the Today 39 S Option Prior Auth Forms online today for timely processing of your request.