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Office of Medical Assistance Programs FeeforService, Pharmacy Division Phone 18005378862 Fax 18663270191ANTIDEPRESSANTS, SSRIs PRIOR AUTHORIZATION FORM Prior authorization guidelines for Antidepressants,
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The prior authorization form for antidepressants is a document that needs to be filled out by the prescribing doctor or healthcare provider before insurance will cover the cost of the medication.
The prescribing doctor or healthcare provider is required to file the prior authorization form for antidepressants.
The prior authorization form for antidepressants typically requires information such as patient demographics, diagnosis, previous treatments, and justification for the prescription.
The purpose of the prior authorization form for antidepressants is to ensure that the medication is being prescribed for a valid medical reason and to determine if there are any alternative, more cost-effective treatments available.
The prior authorization form for antidepressants may require information such as patient demographics, diagnosis, previous treatments, current medication regimen, and justification for the prescription.
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