Get the free Prior Authorization and Formulary Exception Request Form

PRIOR AUTHORIZATION / FORMULARY EXCEPTION Request Form Fax to 503-416-8109 Revised on 10/20/2015 For assistance with this form call CareOregon Advantage at 503. To view what drugs are covered or alternatives on our CareOregon Advantage Formulary List or view our drug policies at Prior Authorization Criteria and Step Therapy Criteria. Please complete all fields legibly and we recommend providing supporting medical records URGENT REQUEST Initial response within 24 hours By selecting the...

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What is prior authorization and formulary?

Prior authorization is the process of obtaining approval from a health insurance provider before receiving certain medications or services. A formulary is a list of prescription drugs covered by a specific health insurance plan.

Who is required to file prior authorization and formulary?

Healthcare providers or pharmacies are typically required to file prior authorization requests and follow formulary guidelines.

How to fill out prior authorization and formulary?

To fill out prior authorization and formulary, healthcare providers need to complete the necessary forms provided by the insurance company and provide all required information about the patient's medical condition and the prescribed medication.

What is the purpose of prior authorization and formulary?

The purpose of prior authorization and formulary is to ensure that patients receive appropriate and cost-effective treatment while controlling healthcare costs by limiting unnecessary or inappropriate medication use.

What information must be reported on prior authorization and formulary?

Information such as patient demographics, medical diagnosis, prescribed medication, and justification for the request are typically required to be reported on prior authorization and formulary forms.