Get Need To:

This guide provides step-by-step instructions for filling out the Need To: form for submitting medical drug prior authorization requests online. Whether you are a new user or simply need a refresher, this guide is designed to assist you in navigating the process efficiently.

Follow the steps to complete the Need To: form accurately.

1. Click the ‘Get Form’ button to access the medical drug prior authorization request form and open it in your browser.
2. Ensure you are registered as a web-DENIS user before attempting to complete the form. If you are an out-of-state provider, download and submit the Registration form alongside the Medication Authorization Request Form.
3. Log into the provider portal by entering your username and password in the Provider Secured Services box on the homepage.
4. Navigate to the Medication Prior Authorization link. You can find this by selecting the quick link on the left side of the page labeled 'Medical Benefit-Medication Prior Authorization' or scrolling down the center to locate the link.
5. Enter your National Provider Identifier (NPI). You may type it in or select it from the dropdown list. This step will direct you to the Novologix platform.
6. Fill out the prior authorization request form. Refer to the BCBSM Prior Authorization Guide, which can be accessed from the help menu of the provider portal for specific instructions.
7. Review all information inputted on the form to ensure accuracy and completeness. Check that any required attachments, such as chart notes, are included.
8. Submit the form by faxing it to the BCBSM Specialty Pharmacy Mailbox at 1-877-325-5979 or by mailing it to the designated address. Ensure that the physician's signature and date are affixed to the document.

Complete your medical drug prior authorization requests online today for a more efficient process.