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OPTIMA HEALTH PLAN *PHARMACY PRIOR AUTHORIZATION REQUEST* Directions: The prescribing physician must sign and clearly print name (preprinted stamps not valid) on this request. All other information
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Optima Health Plan Pharmacy is a pharmacy benefit manager that provides prescription drug benefits to members of certain health insurance plans.
Health insurance plans that utilize Optima Health Plan Pharmacy as their pharmacy benefit manager are required to file information related to prescription drug benefits.
Providers can fill out Optima Health Plan Pharmacy by submitting prescription drug claims and related information through the designated channels.
The purpose of Optima Health Plan Pharmacy is to manage and administer prescription drug benefits for members of specific health insurance plans.
Information reported on Optima Health Plan Pharmacy includes details of prescription drug claims, drug formulary information, member eligibility, and other related data.
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