Get Envolve Pharmacy Solutions Specialty Medication PA Form (PDF)

Please call us at 800.753. 2851 to submit a verbal prior authorization request if you are unable to use Electronic Prior Authorization. Prior Authorization criteria is available upon request.

Please call us at 800.753. 2851 to submit a verbal prior authorization request if you are unable to use Electronic Prior Authorization. Prior Authorization criteria is available upon request.

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.

AcariaHealth specialty pharmacy services includes the following: Comprehensive specialty drug management. Prior authorization across benefits.

Some prescription plans may require an extra level of approval for certain medications. This is called prior authorization, or PA, and it means that your doctor will have to provide additional information on why they are prescribing this medication for you.

Certain prescription medications need to be preapproved by Express Scripts before they will be covered. This preapproval process is known as prior authorization. If you do not receive approval for drugs requiring prior authorization, you may pay the full cost of the medication.

As a combined PBM and specialty drug management solution that is integrated across the medical and pharmacy benefit, we customize and constantly innovate for our plan sponsor partners and deliver personal, caring service for their members.

If your prescription requires prior authorization, you or your doctor can initiate the prior authorization review by calling Express Scripts at 1-800-753-2851.