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URGENT 24 HOUR Prior Authorization Request Form Fax Back To: (866) 940-7328 Phone: (800) 310-6826 Specialty Medication Prior Authorization Cover Sheet (This cover sheet should be submitted along with
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Urgent 24 hour is a reporting requirement for certain types of incidents or events that need to be reported within 24 hours.
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Certain individuals or organizations involved in the incident or event are required to file urgent 24 hour reports.
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