
Get the free U-M Prescription Drug Plan Prior Authorization Request Forms ... - hr umich
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Michigan Prior Authorization Request Form
For Prescription Drugs Instructions
Important: Please read all instructions below before completing IS 2288.
Section 2212c of Public Act 218 of 1956, MCL
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How to fill out u-m prescription drug plan

How to fill out u-m prescription drug plan
01
To fill out the U-M prescription drug plan, follow these steps:
02
Gather all necessary information: You will need your personal information, such as your name, date of birth, and address. Additionally, you will need information about your prescription medications, including the name of each medication, the dosage, and the frequency of use.
03
Access the U-M prescription drug plan website: Visit the official U-M prescription drug plan website and log in to your account.
04
Navigate to the prescription drug plan section: Once logged in, find the section dedicated to the prescription drug plan. This may be listed under your account settings or benefits.
05
Enter your medication details: In the prescription drug plan section, enter the information about each medication you are currently taking. Provide the name, dosage, and frequency of use for each medication.
06
Verify your information: After entering all the medication details, double-check that the information is accurate and up to date.
07
Submit the form: Once you have filled out all the necessary information, submit the form or save it to complete later.
08
Review the confirmation: Upon submission, you should receive a confirmation message or email. Review this confirmation to ensure that your prescription drug plan enrollment is complete.
09
Contact customer support (optional): If you have any questions or encounter issues during the enrollment process, reach out to the U-M prescription drug plan customer support for assistance.
Who needs u-m prescription drug plan?
01
The U-M prescription drug plan is suitable for individuals who:
02
- Are affiliated with the University of Michigan
03
- Require prescription medications as part of their healthcare
04
- Want cost-effective coverage for their prescription drug needs
05
- Prefer the convenience of using a prescription drug plan offered by U-M
06
- Are looking for a plan that provides a wide range of prescription drugs and competitive pricing
07
- Desire the peace of mind that comes with having a comprehensive prescription drug plan
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What is u-m prescription drug plan?
The u-m prescription drug plan is a benefit program offered to University of Michigan employees and their eligible dependents that helps cover the cost of prescription medications.
Who is required to file u-m prescription drug plan?
All eligible University of Michigan employees must enroll in the u-m prescription drug plan.
How to fill out u-m prescription drug plan?
Employees can fill out the u-m prescription drug plan online through the university's benefits portal or by completing a paper enrollment form.
What is the purpose of u-m prescription drug plan?
The purpose of the u-m prescription drug plan is to provide affordable access to prescription medications for University of Michigan employees and their dependents.
What information must be reported on u-m prescription drug plan?
The u-m prescription drug plan requires information on the employee's personal information, dependent information, and prescription drug coverage selections.
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