Get Wa Molina Healthcare Prior Authorization/medication Exception Request 2012-2025
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How to fill out the WA Molina Healthcare Prior Authorization/Medication Exception Request online
Filling out the WA Molina Healthcare Prior Authorization/Medication Exception Request form online can streamline your process for obtaining necessary medication approvals. This guide offers step-by-step instructions for effectively completing the form and ensures you provide all required information.
Follow the steps to complete the online form
- Click ‘Get Form’ button to access the Prior Authorization/Medication Exception Request form and open it for editing.
- Fill in the patient information section which includes the patient's name, member ID number, date of birth, and contact information. This information is essential for processing the request.
- Enter the physician's name and specialty, along with their contact details. Providing accurate physician information facilitates quicker communication regarding the authorization.
- In the medication section, specify the name, strength, and dose of the medication requested. It's important to be precise to avoid delays in the approval process.
- Indicate the quantity of medication needed per month and include clear directions for use.
- Provide the diagnosis or medical indications for the medication request. This helps in justifying the need for the medication.
- Specify the duration of use for the requested medication to guide the approval period.
- Detail any previous medication trials, including dates of use. This section helps in establishing the necessity of the current request.
- Complete the medical justification section, explaining why this medication is required for the patient.
- If applicable, indicate if this is a re-authorization of a current medication by checking the provided box.
- Enter the pharmacy's fax number and name, ensuring it is correct for timely responses. Always include your contact details to enhance communication.
- Review all entries for accuracy. Upon completion, you can save changes, download, print, or share the form as needed.
Take action now by filling out the WA Molina Healthcare Prior Authorization/Medication Exception Request online.
No, a prior authorization is not the same as a formulary exception. A prior authorization is necessary for certain medications before they are covered, while a formulary exception involves requesting coverage for drugs that are not on the formulary list. Understanding these differences can help you effectively navigate the requirements of WA Molina Healthcare.
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