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PHARMACY PREAUTHORIZATION CRITERIA DRUG (S)Brand Name Contraceptives AMELIA/LO BEY AZ REGION CAPRESE/LO CYCLE SSA DESIGN ELLA ENTRUSTED FE VANESSA FEM CON GENERALS FE LORETTA HOLSTEIN/FE LoLOESTRIN LOESTRIN24
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How to fill out pharmacy pre-authorization criteria

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How to fill out pharmacy pre-authorization criteria

01
Gather all necessary information including the patient's personal information, medical history, and prescribed medication.
02
Review the pharmacy pre-authorization criteria provided by the insurance company.
03
Ensure that the prescribed medication meets the specific requirements outlined in the criteria.
04
Fill out the necessary forms or submit the pre-authorization request online.
05
Attach any relevant supporting documentation such as medical records or test results.
06
Submit the completed pre-authorization request to the appropriate department or contact the insurance company directly.
07
Follow up with the insurance company to ensure receipt of the request and inquire about the expected review timeframe.
08
Keep a record of all correspondence and documentation related to the pre-authorization process.
09
Await the insurance company's decision and communicate the outcome to the patient.
10
If the pre-authorization is approved, inform the patient and proceed with processing the medication order. If denied, work with the patient and healthcare provider to explore alternative options.

Who needs pharmacy pre-authorization criteria?

01
Individuals who require certain medications that are not automatically covered by their insurance plan.
02
Healthcare providers who wish to prescribe medications that may require pre-authorization.
03
Pharmacists or pharmacy staff responsible for processing medication orders and ensuring compliance with insurance requirements.
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