Get US-Rx Care Specialty Medication Prior Authorization Form 2012-2024

Prior authorization requires the prescriber to receive pre-approval for prescribing a particular drug in order for that medication to qualify for coverage under the terms of the pharmacy benefit plan.

Did you know submitting prior authorizations (PAs) by fax or phone can take anywhere from 16 hours to 2 days to receive a determination? CVS Caremark has made submitting PAs easier and more convenient. Some automated decisions may be communicated in less than 6 seconds!

The CVS/caremark Prior Authorization number is 1-800-294-5979.... Request mail service prescriptions. Request a new prescription with FastStart® Check your order status. Check your drug coverage and cost. Find pharmacies in your network. View your prescription history.

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.

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.

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.

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.

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.