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Office of Medical Assistance Programs FeeforService, Pharmacy Division Phone 18005378862 Fax 18663270191KINERET () nonpreferred PRIOR AUTHORIZATION FORM Cytokine and CAM Antagonists and Quantity Limits/Daily
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What is prior authorization preferred drug?
Prior authorization preferred drug is a process by which a health insurer requires a patient to receive approval before a specific medication is covered by their insurance plan.
Who is required to file prior authorization preferred drug?
Healthcare providers are typically responsible for submitting the prior authorization request for a preferred drug.
How to fill out prior authorization preferred drug?
To fill out a prior authorization for a preferred drug, healthcare providers must provide detailed information about the patient's medical history, medication history, and reasons for prescribing the requested drug.
What is the purpose of prior authorization preferred drug?
The purpose of prior authorization for preferred drugs is to ensure that patients are receiving the most cost-effective and medically appropriate treatment, and to prevent unnecessary medication use.
What information must be reported on prior authorization preferred drug?
Information such as patient's medical history, diagnosis, previous treatments, and reasons for prescribing the preferred drug must be reported on the prior authorization form.
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