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PRIOR AUTHORIZATION/MEDICATION EXCEPTION REQUEST Molina Healthcare of Washington Phone: (800) 2135525 Option 122 Fax: (800) 8697791 UrgentReauthorizationPatient Information First Name:MI:Last Name:DOB:Member
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What is prior authorizationmedication?
Prior authorizationmedication is a process used by insurance companies to determine if they will cover a prescribed medication.
Who is required to file prior authorizationmedication?
Healthcare providers or pharmacists are required to file prior authorization for medications prescribed to patients.
How to fill out prior authorizationmedication?
Prior authorization for medication can be filled out by the healthcare provider or pharmacist online or through a paper form provided by the insurance company.
What is the purpose of prior authorizationmedication?
The purpose of prior authorization for medication is to ensure the prescribed medication is necessary and appropriate for the patient's medical condition.
What information must be reported on prior authorizationmedication?
The prior authorization form typically requires information such as the patient's medical history, the prescriber's information, the medication details, and the reason for prescribing the medication.
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