Get the free CIGNA Tel-Drug Specialty Pharmacy Fax Order Form

This document is used for placing an order for medications related to febrile neutropenia for patients covered by CIGNA Healthcare.

How to fill out cigna tel-drug specialty pharmacy

How to fill out CIGNA Tel-Drug Specialty Pharmacy Fax Order Form

1. Obtain the CIGNA Tel-Drug Specialty Pharmacy Fax Order Form from the CIGNA website or your healthcare provider.
2. Fill in the patient's personal information, including name, date of birth, and insurance details.
3. Provide the prescribing physician's information, including name, contact number, and address.
4. List the medication requested, including dosage and quantity.
5. Include any relevant patient medical history or clinical information required for medication approval.
6. Sign and date the form to authorize the order.
7. Fax the completed form to the specified CIGNA fax number provided on the form.

Who needs CIGNA Tel-Drug Specialty Pharmacy Fax Order Form?

1. Patients who require specialty medications.
2. Healthcare providers who are prescribing specialty medications for their patients.
3. Pharmacists who manage specialty drug orders.

People Also Ask about

What is the fax number for Cigna Healthspring appeal?

To request a reconsideration (appeal) of a denied medical service/item not yet received, please complete the following and either fax to 1-866-567-2474 or mail to the address on the next page.

What is the phone number for Cigna PA Dept?

Phone. Call 1 (800) 88CIGNA (882-4462). For Medical Services you will need: Description of service.

What is the fax number for Cigna authorization?

Fax 866-873-8279.

What is Cigna's pharmacy called?

Express ScriptsⓇ Pharmacy, our home delivery pharmacy, is a convenient option if you're taking a medication on a regular basis to treat an ongoing health condition. Express Scripts® Pharmacy, which is a Cigna company, is one of the country's largest home delivery pharmacies.

How to fax a prescription to express script?

Your provider can also fax your prescription to Express Scripts® Pharmacy — they can call (888) 327-9791 for faxing instructions. Be sure to give them your member ID number. (Only providers can fax prescriptions.)

How to get prior authorization for medication with Cigna?

882.4462 (1.800. 88. CIGNA) to submit a verbal prior authorization request. If you are unable to use ePA and can't submit a request via telephone, please use one of our request forms and fax it to the number on the form.

What is the fax number for Express Scripts prior authorization form?

After the form has been completed, it can be faxed to Express Scripts at 1-877-251-5896 for review.

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What is CIGNA Tel-Drug Specialty Pharmacy Fax Order Form?

The CIGNA Tel-Drug Specialty Pharmacy Fax Order Form is a document used by healthcare providers to order specialty medications for patients through CIGNA's specialty pharmacy services.

Who is required to file CIGNA Tel-Drug Specialty Pharmacy Fax Order Form?

Healthcare providers, including physicians and other authorized prescribers, are required to file the CIGNA Tel-Drug Specialty Pharmacy Fax Order Form when prescribing specialty medications for their patients.

How to fill out CIGNA Tel-Drug Specialty Pharmacy Fax Order Form?

To fill out the CIGNA Tel-Drug Specialty Pharmacy Fax Order Form, providers must include patient information, medication details, dosage instructions, and any necessary insurance or billing information, ensuring all sections of the form are completed accurately.

What is the purpose of CIGNA Tel-Drug Specialty Pharmacy Fax Order Form?

The purpose of the CIGNA Tel-Drug Specialty Pharmacy Fax Order Form is to streamline the process of prescribing and dispensing specialty medications, ensuring that necessary information is communicated efficiently between the prescriber and the pharmacy.

What information must be reported on CIGNA Tel-Drug Specialty Pharmacy Fax Order Form?

The CIGNA Tel-Drug Specialty Pharmacy Fax Order Form must report information including the patient's name, contact information, medication name, dosage, prescribed quantity, and any relevant clinical information or prior authorization details.