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Date Caterpillar Prescription Drug Benefit PRIOR AUTH CRITERIAHistamine-2 Blockers(H2-Blockers) alternative dosage forms including: (check product being requested) sanitizing(Santa) oral syrup famotidine(Pepcid)
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How to fill out prior auth criteriahistamine-2 blockersh2-blockers
How to fill out prior auth criteria for histamine-2 blockers (H2-blockers)?
01
Gather all relevant medical records and documentation related to the patient's condition and medical history.
02
Review the specific prior authorization criteria set by the insurance company or healthcare provider for H2-blockers.
03
Ensure that the patient meets the specific requirements outlined in the prior authorization criteria, such as failed trials with other medications or documented medical necessity for H2-blocker therapy.
04
Complete the necessary forms or documentation required by the insurance company or healthcare provider accurately and thoroughly.
05
Attach any supporting documentation, such as medical records, test results, or physician notes, that can strengthen the case for prior authorization.
06
Submit the completed prior authorization request along with all supporting documentation to the insurance company or healthcare provider via the specified method (online portal, fax, mail, etc.).
07
Follow up with the insurance company or healthcare provider to confirm receipt of the prior authorization request and to inquire about the status of the request.
08
If the prior authorization is approved, inform the patient's healthcare provider and ensure that the prescribed H2-blocker medication is obtained and administered accordingly.
Who needs prior auth criteria for histamine-2 blockers (H2-blockers)?
01
Patients who are seeking coverage for H2-blocker medications through their insurance plans.
02
Healthcare providers who are prescribing H2-blockers and need to obtain prior authorization for their patients.
03
Insurance companies or healthcare providers who require prior authorization for H2-blockers as part of their coverage policies or cost-control measures.
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