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MEDICAL ASSISTANCE HANDBOOK PRIOR AUTHORIZATION OF PHARMACEUTICAL SERVICES I. Requirements for Prior Authorization of Bone Resorption Suppression and Related Agents A. Prescriptions That Require Prior
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What is prior authorization of pharmaceutical?
Prior authorization of pharmaceutical is the process by which healthcare providers request approval from the insurance company before certain medications can be prescribed to a patient.
Who is required to file prior authorization of pharmaceutical?
Healthcare providers such as doctors, nurse practitioners, and pharmacists are required to file prior authorization of pharmaceutical.
How to fill out prior authorization of pharmaceutical?
Prior authorization forms can be obtained from the insurance company and typically require information such as patient demographics, diagnosis, medication details, and supporting documentation.
What is the purpose of prior authorization of pharmaceutical?
The purpose of prior authorization of pharmaceutical is to ensure that the prescribed medication is medically necessary, safe, and cost-effective.
What information must be reported on prior authorization of pharmaceutical?
Information such as patient's name, date of birth, insurance information, provider's information, medication name/dosage, diagnosis code, supporting clinical documentation, and any other relevant details must be reported on prior authorization of pharmaceutical.
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