Rx Benefits Prior Authorization Form
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Need To Check Your Prior Authorization Status ?
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Request To Expedite Review If T
Web about us rxbenefits innovation 2023 pharmacy benefits revolutionized. Web your fastest form of contact will be to reach out to our member services team at [email protected]. Web this can be located on your medical id card (if you have a combined medical and pharmacy card), on your pharmacy card, or by calling the member services prior authorization line at 888.608.8851. A unique number assigned to the pa request.
Rxpreferred Provider Resources Available For Download On One Page.
Looking for the prior authorization form ? Service code if available (hcpcs/cpt) new prior authorization. Please fill out all sections completely and legibly.