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OPTIMA HEALTH PLAN PHARMACY PRIOR AUTHORIZATION/STEPPED REQUEST* Directions: The prescribing physician must sign and clearly print name (preprinted stamps not valid) on this request. All other information
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How to fill out drug requested - check
01
To fill out a drug request, follow these steps:
02
Determine the specific drug you need.
03
Gather all the necessary information, including your personal details and medical history.
04
Visit the healthcare provider or pharmacy where you want to submit the request.
05
Request the appropriate forms to fill out for a drug request.
06
Fill out the forms accurately and completely, providing all requested information.
07
Review the completed forms to ensure everything is correctly filled in.
08
Submit the filled-out forms to the designated personnel or place.
09
Wait for the review and approval process to be completed.
10
If approved, follow any instructions provided to obtain the requested drug.
11
Keep a copy of the submitted forms for your records.
Who needs drug requested - check?
01
Anyone who requires a specific drug for medical reasons may need to submit a drug request.
02
This includes individuals with chronic conditions, patients undergoing treatments, those in need of medication not readily available over-the-counter, etc.
03
The exact eligibility criteria and process may vary depending on the healthcare system, insurance coverage, and specific drug being requested.
04
It is advisable to consult with a healthcare professional or pharmacist to determine if a drug request is necessary in your situation.
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