Get the free Prescription Drug Prior Authorization or Step Therapy Exception Request Form. Prescr...

Page 1 of 2PRESCRIPTION DRUG PRIOR AUTHORIZATION OR STEP THERAPY EXCEPTION REQUEST FORM Plan/Medical Group Name: Blue Shield of California Promise Health Plan/Medical Group Fax#: (323) 8896254 or

How to fill out prescription drug prior authorization

How to fill out prescription drug prior authorization

1. Step 1: Obtain the prescription drug prior authorization form from your insurance provider.
2. Step 2: Fill out the patient information section of the form including your name, date of birth, and insurance information.
3. Step 3: Provide the prescribing doctor's contact information and the details of the prescribed medication.
4. Step 4: Attach any supporting documents or medical records requested by your insurance provider.
5. Step 5: Review the completed form and ensure all information is accurate and complete.
6. Step 6: Submit the filled out prescription drug prior authorization form to your insurance provider through the specified submission method (fax, mail, online portal, etc.).
7. Step 7: Wait for a response from your insurance provider regarding the prior authorization request.
8. Step 8: Follow up with your insurance provider if you do not receive a response within the specified timeframe.
9. Step 9: If the prior authorization is approved, you will be notified and can proceed with obtaining the medication.
10. Step 10: If the prior authorization is denied, you may need to discuss alternative treatment options with your doctor or appeal the decision with your insurance provider.

Who needs prescription drug prior authorization?

1. Prescription drug prior authorization is typically required for individuals who are covered by insurance plans that include prior authorization requirements for certain medications.
2. Examples of individuals who may need prescription drug prior authorization include those who are prescribed high-cost medications, medications that are not on the insurance plan's formulary, or medications that have alternative treatment options that need to be explored before approval.
3. Specific criteria for needing prescription drug prior authorization may vary depending on the insurance plan and the prescribed medication.

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What is prescription drug prior authorization?

Prescription drug prior authorization is a process where healthcare providers must obtain approval from an insurance company or plan before prescribing certain medications.

Who is required to file prescription drug prior authorization?

Healthcare providers such as doctors, nurse practitioners, and physician assistants are typically required to file prescription drug prior authorization.

How to fill out prescription drug prior authorization?

To fill out prescription drug prior authorization, healthcare providers must complete a form provided by the insurance company or plan, including information about the patient, the medication being requested, and the medical necessity.

What is the purpose of prescription drug prior authorization?

The purpose of prescription drug prior authorization is to ensure that medications are prescribed appropriately, based on medical necessity, and to control costs for insurance companies or plans.

What information must be reported on prescription drug prior authorization?

Information such as patient demographics, medical history, diagnosis, prescribed medication, dosage, frequency, duration, and the reason for prescribing the medication must be reported on prescription drug prior authorization.