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  • Sc Prior Authorization Request Form: Medications 2013

Get Sc Prior Authorization Request Form: Medications 2013-2025

Prior Authorization Request Form: MedicationsPlease type or print neatly. Incomplete and illegible forms will delay processing.II. Member InformationI. Provider Information Prescriber nameNPI #Member.

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Sc prior authorization form Questions & Answers

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Methods for requesting prior authorization Fax: 813-751-3760 – Submit the Preauthorization Request Form along with supporting documentation.

Blue Cross Blue Shield, 2501 Faraway Dr, Columbia, SC, Insurance - MapQuest.

Please fax your request with substantiating clinical information to 1-877-348-2251.

What types of prescriptions require prior authorizations? Brand-name drugs that have a generic available. Drugs that are intended for certain age groups or conditions only. Drugs used only for cosmetic reasons. Drugs that are neither preventative nor used to treat non-life-threatening conditions.

Including home health care services, durable medical equipment, behavioral health (mental health/substance use disorder) and the Prior Review List. The Avalon portal will not be available until 4/23. Please fax the completed form to Avalon's Medical Management Department at 813-751-3760.

Contact us with questions Call 855-404-6752 to speak with one of our customer service advocates. Visit at a South Carolina BLUESM retail center. Email membership.enrollment@bcbssc.com.

Also known as prior approval, pre-authorization, or pre-certification—or abbreviated as prior auth or PA by some insurance companies—prior authorization will determine whether a procedure, prescription drug, durable medical equipment, or other product or service will be covered.

What is prior authorization? This means we need to review some medications before your plan will cover them. We want to know if the medication is medically necessary and appropriate for your situation. If you don't get prior authorization, a medication may cost you more, or we may not cover it.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232