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Anthem Blue Cross and Blue Shield MedicaidMEDICAID PROVIDER BULLETIN September 2017New pharmacy prior authorization fax numbers Anthem Blue Cross and Blue Shield Medicaid (Anthem) is streamlining
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What is new pharmacy prior authorization?
New pharmacy prior authorization is a process that requires approval from a health insurance plan before a prescription medication can be filled or dispensed.
Who is required to file new pharmacy prior authorization?
Healthcare providers, pharmacists, or patients may be required to file new pharmacy prior authorization depending on their health insurance plan.
How to fill out new pharmacy prior authorization?
To fill out new pharmacy prior authorization, healthcare providers or pharmacists must complete the necessary forms with details about the patient, medication, and medical necessity.
What is the purpose of new pharmacy prior authorization?
The purpose of new pharmacy prior authorization is to ensure that prescribed medications are appropriate, safe, and cost-effective based on the patient's health condition and insurance coverage.
What information must be reported on new pharmacy prior authorization?
Information such as patient's demographics, medical history, prescribed medication, dosage, duration, and healthcare provider's justification for the prescription may need to be reported on new pharmacy prior authorization.
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