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Office of Medical Assistance Programs FeeforService, Pharmacy Division Phone 18005378862 Fax 18663270191REMICADE/INFLECTED/REFLEXES () nonpreferred PRIOR AUTHORIZATION FORM Cytokine and CAM Antagonists
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Prior authorization preferred drug is a process where certain medications require approval from a healthcare provider before they can be dispensed to the patient.
Healthcare providers and pharmacists are typically required to file prior authorization for preferred drugs.
To fill out a prior authorization for preferred drug, healthcare providers need to provide detailed information about the patient's medical history, the reason why the preferred drug is necessary, and any other relevant documentation.
The purpose of prior authorization for preferred drugs is to ensure that patients receive safe and appropriate medication while controlling costs for healthcare providers and insurance companies.
The information reported on prior authorization for preferred drugs may include the patient's medical history, the prescriber's information, the medication being requested, and the reason for the request.
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