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ANTIMIGRAINE AGENTS, OTHER CORP INHIBITORS PRIOR AUTHORIZATION FORM (form effective 1/1/20)Fax to Perform Rx at 12159375018, or to speak to a representative call 18005886767. SMPR IOR AUTHORIZATION

How to fill out aimovig prior authorization request

How to fill out aimovig prior authorization request

1. To fill out the Aimovig prior authorization request, follow these steps:
2. Obtain the prior authorization form from the insurance company or download it from their website.
3. Fill in the patient's personal information, such as name, date of birth, and insurance information.
4. Provide the healthcare provider's information, including name, address, and contact details.
5. Provide the diagnosis, indicating that the patient requires treatment with Aimovig for their specific medical condition.
6. Fill out the prescription details, including dosage and frequency of administration.
7. Attach any supporting medical documentation, such as medical records or test results, to support the need for Aimovig treatment.
8. Review the filled form for accuracy and completeness.
9. Submit the completed prior authorization request to the insurance company through the designated submission process, which may include online submission, fax, or mailing.
10. Follow up with the insurance company to ensure the request is processed and approved in a timely manner.
11. Keep a copy of the completed prior authorization request and any related documentation for future reference.

Who needs aimovig prior authorization request?

1. Individuals who require treatment with Aimovig may need to submit a prior authorization request. This request is typically needed for patients whose insurance plans require pre-approval or confirmation of medical necessity before covering the cost of Aimovig.
2. Patients with migraine headaches or other related conditions, for which Aimovig is prescribed, may need to go through the prior authorization process to ensure insurance coverage for this medication.
3. It is advisable to consult with the healthcare provider and the patient's insurance company to determine if a prior authorization request is necessary for Aimovig treatment.

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What is aimovig prior authorization request?

Aimovig prior authorization request is a process where healthcare providers seek approval from insurance companies before prescribing Aimovig, a medication used for preventing migraines.

Who is required to file aimovig prior authorization request?

Healthcare providers such as doctors or pharmacists are required to file aimovig prior authorization request.

How to fill out aimovig prior authorization request?

To fill out aimovig prior authorization request, healthcare providers need to provide patient information, medical necessity, and any supporting documentation.

What is the purpose of aimovig prior authorization request?

The purpose of aimovig prior authorization request is to ensure that the medication is prescribed for appropriate medical conditions and meets insurance coverage criteria.

What information must be reported on aimovig prior authorization request?

Information such as patient demographics, medical history, diagnosis, treatment plan, and insurance information must be reported on aimovig prior authorization request.