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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F11304A (01/2018)STATE OF WISCONSIN Wis. Admin. Code DHS 107.10(2)FORWARDHEALTHPRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) FOR CYTOKINE

How to fill out prior authorizationpreferred drug list

How to fill out prior authorizationpreferred drug list

1. To fill out prior authorization preferred drug list, follow these steps:
2. Gather all the necessary information and documents, including the patient's personal details, medical history, and the prescription drug information.
3. Contact the patient's insurance provider to determine if prior authorization is required for the preferred drug list.
4. Obtain the prior authorization form from the insurance company either online or through their customer service.
5. Carefully fill out the form, ensuring that all required fields are completed accurately.
6. Attach any supporting documents, such as medical records or prescriptions, as requested by the insurance company.
7. Review the completed form and attached documents to confirm all information is correct and complete.
8. Submit the prior authorization form along with any required documents to the insurance company through their designated submission method, such as mail, fax, or online portal.
9. Follow up with the insurance company to ensure the prior authorization request has been received and processed.
10. Once the request is approved, the preferred drug list can be filled out accordingly during the prescription filling process.
11. Keep a copy of the prior authorization form and any communication with the insurance company for future reference.

Who needs prior authorizationpreferred drug list?

1. Prior authorization preferred drug list is needed by individuals who have health insurance plans that require prior authorization for certain medications.
2. This includes patients who may be prescribed medications that are not included on their insurance plan's formulary or preferred drug list.
3. In such cases, prior authorization is needed to demonstrate the medical necessity of the prescribed medication and obtain coverage for it.
4. Prior authorization helps insurance companies ensure appropriate utilization of medications and control healthcare costs.
5. Healthcare providers, pharmacists, and patients themselves may need to access the prior authorization preferred drug list when coordinating medication coverage with the insurance company.

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What is prior authorizationpreferred drug list?

Prior authorization/preferred drug list is a list of medications that require approval from the insurance company before they will be covered at the preferred rate.

Who is required to file prior authorizationpreferred drug list?

Healthcare providers and pharmacies are typically responsible for submitting prior authorization/preferred drug lists to insurance companies.

How to fill out prior authorizationpreferred drug list?

Prior authorization/preferred drug lists can be filled out electronically through the insurance company's online portal or submitted via fax or mail using the appropriate forms.

What is the purpose of prior authorizationpreferred drug list?

The purpose of prior authorization/preferred drug lists is to ensure cost-effective prescribing of medications and to control healthcare costs.

What information must be reported on prior authorizationpreferred drug list?

Prior authorization/preferred drug lists must include the patient's information, prescriber's information, medication details, and the reason why prior authorization is being requested.