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DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F-11092 (10/13) STATE OF WISCONSIN DHS 107.10(2), Wis. Admin. Code FORWARDHEALTH PRIOR AUTHORIZATION / PREFERRED DRUG
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Prior authorization preferred drug is a specific medication that requires approval from a health insurance company before it can be dispensed.
Healthcare providers or pharmacists are required to file prior authorization for preferred drugs on behalf of their patients.
To fill out prior authorization for preferred drugs, healthcare providers or pharmacists need to provide specific information about the patient, the drug being prescribed, and the medical necessity for the medication.
The purpose of prior authorization for preferred drugs is to ensure appropriate and cost-effective use of medications by requiring approval before dispensing.
Information required on prior authorization for preferred drugs includes patient demographics, diagnosis, drug name, dosage, frequency, and duration of treatment, as well as any relevant medical history.
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