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Please note: All information below is required to process this request Mon Fri: 5am to10pm Pacific / Sat: 6am to 3pm Pacific For real time submission 24/7 visit www.OptumRx.com and click Health Care

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What is diclegis prior authorization request?

Diclegis prior authorization request is a process where healthcare providers must obtain approval from the insurance company before a prescription for diclegis can be filled.

Who is required to file diclegis prior authorization request?

Healthcare providers, such as doctors or nurse practitioners, are required to file diclegis prior authorization request on behalf of the patient.

How to fill out diclegis prior authorization request?

To fill out diclegis prior authorization request, healthcare providers need to provide patient information, medical history, diagnosis, prescribed dosage of diclegis, and reasons why diclegis is necessary.

What is the purpose of diclegis prior authorization request?

The purpose of diclegis prior authorization request is to ensure that diclegis is prescribed appropriately and to control medication costs for insurance companies.

What information must be reported on diclegis prior authorization request?

Patient information, medical history, diagnosis, prescribed dosage of diclegis, and reasons for prescribing diclegis must be reported on diclegis prior authorization request.

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