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DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F01951A (01/2017)STATE OF WISCONSIN Wis. Admin. Code DHS 107.10(2)FORWARDHEALTHPRIOR AUTHORIZATION / PREFERRED DRUG

How to fill out prior authorizationpreferred drug list

How to fill out prior authorizationpreferred drug list

1. To fill out the prior authorization preferred drug list, follow these steps:
2. Begin by reviewing the list of preferred drugs provided by your insurance company.
3. Identify the medications you currently take or plan to use and check if they are included in the preferred drug list.
4. If your medication is on the list, mark it as 'preferred'. If not, indicate 'non-preferred'.
5. Provide any required information such as dosage, frequency, and duration of medication use.
6. Complete the necessary personal information section, including your name, contact details, insurance policy number, and any additional information required.
7. Review the form for accuracy and ensure all sections are filled out properly.
8. Submit the filled out prior authorization preferred drug list form to your healthcare provider or insurance company, as instructed.
9. Follow up with your healthcare provider or insurance company to ensure the form is received and processed.
10. Wait for a response from the insurance company regarding the approval or denial of the requested medication.
11. If approved, your medication will be covered as a preferred drug. If denied, alternative options or an appeals process may be available.

Who needs prior authorizationpreferred drug list?

1. Prior authorization preferred drug lists are typically required by insurance companies and healthcare providers.
2. Patients who have insurance coverage with specific formularies or drug lists may need to fill out these forms.
3. Additionally, individuals who are prescribed medications that are not included in the pharmacy's preferred drug list may also need prior authorization.
4. It is recommended to consult with your healthcare provider or insurance company to determine if you need to fill out a prior authorization preferred drug list.

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What is prior authorization/preferred drug list?

Prior authorization/preferred drug list is a list of medications that require approval from the insurance company before they will be covered.

Who is required to file prior authorization/preferred drug list?

Healthcare providers and pharmacies are required to file prior authorization/preferred drug list.

How to fill out prior authorization/preferred drug list?

To fill out a prior authorization/preferred drug list, healthcare providers need to provide information about the patient, the medication, and the medical necessity for the medication.

What is the purpose of prior authorization/preferred drug list?

The purpose of prior authorization/preferred drug list is to control costs and ensure that patients are receiving appropriate and effective medications.

What information must be reported on prior authorization/preferred drug list?

The information that must be reported on a prior authorization/preferred drug list includes the patient's name, insurance information, the medication being requested, and the reason for the request.