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PHONE: (844) 2462930 FAX: 855.869.7043 Pharmacy Services DepartmentHUMIRA Prior Authorization Form Standard Request (72 hours) Expedited Request (24 hours)If you or your prescriber believe that waiting
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What is direct phone or ext?
Direct phone or ext refers to the direct phone number or extension where an individual can be reached.
Who is required to file direct phone or ext?
Employees or individuals who need to be reached directly by phone are required to provide their direct phone or extension number.
How to fill out direct phone or ext?
Direct phone or ext can be filled out by simply providing the direct phone number or extension in the designated field.
What is the purpose of direct phone or ext?
The purpose of direct phone or ext is to ensure that individuals can be reached directly by phone without going through a reception or automated system.
What information must be reported on direct phone or ext?
The information required to be reported on direct phone or ext includes the actual phone number or extension assigned to the individual.
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