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Prior Authorization Form General/Preferred Drugs Access this PA form at: https://optumrx.com/oe_tenncare/prescriber Drug/class specific PA forms must be used whenever available, including: Antidepressants:
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To fill out general non-preferred drugs, follow these steps:
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Start by gathering all the necessary information such as the prescription, health insurance details, and any prior authorization forms required.
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Review the list of general non-preferred drugs to ensure the prescribed medication falls under this category.
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Check if there are any specific guidelines or restrictions for filling out general non-preferred drugs, such as maximum quantity limits or required step therapy.
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Contact your healthcare provider or pharmacist if you have any questions or concerns regarding the medication or its usage.
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Submit the prescription and any required documentation to your health insurance provider.
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Await approval from your insurance provider before proceeding with filling out the medication.
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Once approved, visit a preferred pharmacy or an in-network pharmacy to obtain the medication.
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Pay any applicable copay or deductible as determined by your health insurance plan.
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Follow the instructions provided by your healthcare provider for taking the medication.
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If you experience any adverse effects or have further questions during the course of medication, consult your healthcare provider immediately.

Who needs generalnon-preferred drugs?

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General non-preferred drugs may be needed by individuals who:
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- Have health insurance plans that classify certain medications as non-preferred due to cost or availability.
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- Have exhausted other preferred medication options or alternative treatments without success.
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- Require specific medications that are not commonly prescribed or included in the preferred drug list of their insurance plan.
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- Have received prior authorization from their healthcare provider to use a non-preferred medication.
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It's always best to consult with your healthcare provider and insurance plan to determine if general non-preferred drugs are necessary and appropriate for your specific medical condition.
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General non-preferred drugs are medications that are not included in the preferred drug list established by a certain healthcare plan or formulary.
Healthcare providers or institutions who prescribe or dispense non-preferred drugs are required to file information about general non-preferred drugs.
Healthcare providers can fill out information about general non-preferred drugs through a designated form or electronic submission system provided by the healthcare plan or formulary.
The purpose of reporting general non-preferred drugs is to ensure transparency, monitor utilization, and make informed decisions regarding drug coverage and formulary management.
Information such as drug name, dosage, frequency of use, duration of treatment, and reason for prescribing non-preferred drugs must be reported.
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