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This document provides detailed instructions for completing the Medicaid Prior Authorization Form and outlines the criteria for the Preferred Drug List and drugs requiring prior authorization under
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How to fill out alabama medicaid preferred drug

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How to fill out Alabama Medicaid Preferred Drug and Prior Authorization Program

01
Visit the Alabama Medicaid Agency website.
02
Download the Preferred Drug List (PDL) and the Prior Authorization (PA) form.
03
Ensure that the drug you wish to prescribe is listed on the PDL.
04
Complete the PA form with the necessary patient and prescriber information.
05
Provide supporting documentation justifying the necessity of the drug.
06
Submit the completed PA form to the appropriate contact specified on the form.
07
Await the decision from the Alabama Medicaid Agency regarding the PA request.
08
If approved, ensure that the pharmacy can fill the prescription using the authorization.

Who needs Alabama Medicaid Preferred Drug and Prior Authorization Program?

01
Patients eligible for Alabama Medicaid who require specific medications that are not on the Preferred Drug List.
02
Healthcare providers prescribing medications that necessitate prior authorization.
03
Individuals seeking comprehensive medication coverage under Alabama Medicaid.
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Prior Authorization (approval in advance) is required for many procedures, services or supplies, including transportation. Click here for information on obtaining an Emergency PA for medications.
For help enrolling as a Medicaid provider, contact 1(888) 223-3630 or (334) 215-0111.
How They Work. Prior authorization and pre-claim review are similar, but differ in the timing of the review and when services can begin. Under prior authorization, the provider or supplier submits the prior authorization request and receives the decision before services are rendered.
For questions related to prior authorization or overrides, contact Acentra Health at 1-800-748-0130.
For questions related to prior authorization or overrides, contact Acentra Health at 1-800-748-0130.
A PDL is a list of medications that Medicaid will cover the cost for without the need to request a prior authorization (PA). PDLs are comprised of medications that either are generic formulations or are the result of price negotiations between the pharmaceutical companies and Medicaid.
Swipe or scroll to see the entire table StatePhone and fax numbers Alabama Phone: (800) 356-9596 Fax: (334) 206-5161 Alaska Phone: (800) 478-9996 (outside Anchorage) File a complaint: (907) 334-2483 Arizona Phone: (602) 324-2690 Fax: (602) 364-0993 Tucson, AZ Phone: (520) 628-6965 Fax: (520) 628-69912 more rows

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The Alabama Medicaid Preferred Drug and Prior Authorization Program is a system that manages the use of specific medications within Alabama's Medicaid program. It aims to encourage the use of cost-effective and clinically appropriate drugs.
Healthcare providers prescribing medications that require prior authorization under the Alabama Medicaid Program are required to file for the Alabama Medicaid Preferred Drug and Prior Authorization Program.
To fill out the Alabama Medicaid Preferred Drug and Prior Authorization Program, providers must complete a prior authorization request form, which can typically be submitted online or via fax, including all necessary patient and prescribing information.
The purpose of the Alabama Medicaid Preferred Drug and Prior Authorization Program is to ensure that Medicaid beneficiaries receive safe, effective, and cost-efficient medications while managing overall healthcare expenditures.
Information that must be reported includes the patient's demographic details, the prescribing physician's information, the requested medication, the diagnosis related to the prescription, and any relevant clinical information justifying the need for the medication.
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