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Fax completed form to: 18556337673 Questions, please call: 18553440930 24 hours a day 7 days a week (TTY users call: 711) Important Information about Prescription Drug Coverage To:From:Fax:Pages’Re:
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How to fill out fax step therapy exception

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How to fill out fax step therapy exception

01
Obtain the fax step therapy exception form from your healthcare provider or health insurance company.
02
Fill out the form completely, providing all the required information such as your personal details, prescription information, and relevant medical history.
03
Make sure to attach any supporting documents, such as medical records or a letter of medical necessity, that may help support your request for a step therapy exception.
04
Contact your healthcare provider or health insurance company to confirm the appropriate fax number to which you should send the completed form and supporting documents.
05
Send the fax with the completed form and supporting documents to the designated fax number.
06
Wait for confirmation from your healthcare provider or health insurance company regarding the status of your step therapy exception request.
07
Follow up with your healthcare provider or health insurance company if you do not receive a response within a reasonable timeframe.

Who needs fax step therapy exception?

01
Individuals who have been prescribed a medication that requires step therapy by their health insurance company may need a fax step therapy exception. Step therapy is a process where patients are required to try lower-cost or preferred medications before they can access higher-cost or non-preferred medications. If an individual believes that the required medications under step therapy are not suitable or effective for their condition, they can request a step therapy exception through fax.
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Fax step therapy exception allows a patient to bypass step therapy requirements for certain medications.
The patient's healthcare provider is required to file the fax step therapy exception.
The healthcare provider must complete the necessary forms and submit them to the insurance company.
The purpose of fax step therapy exception is to ensure that patients can access necessary medications without delay.
The information reported on fax step therapy exception includes patient's medical history, reasons for exception, and prescribed medication.
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