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Member Name (print): ___GEORGIANonFormulary or Step Therapy Prescription Drug Form Kaiser Permanent Health Record Number: ___ DOB:___ Print or Stamp below: Prescriber Name: Prescriber Phone number:
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How to fill out wwwscanhealthplancomscan-resourcespharmacyprior authorization and step

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Go to the website www.scanhealthplan.com/scan-resources/pharmacy/prior-authorization.
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Log in to your account or create a new account if you don't have one already.
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Locate the section for prior authorization and steps for filling out the form.
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Who needs wwwscanhealthplancomscan-resourcespharmacyprior authorization and step?

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Individuals who are members of Scan Health Plan and need to request prior authorization for medication.
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www.scanhealthplan.com/scan-resources/pharmacy/prior-authorization-and-step is a process that requires approval from a health plan before certain prescriptions are filled or delivered.
Healthcare providers or pharmacists are required to file www.scanhealthplan.com/scan-resources/pharmacy/prior-authorization-and-step for certain medications.
To fill out www.scanhealthplan.com/scan-resources/pharmacy/prior-authorization-and-step, healthcare providers or pharmacists need to provide specific information about the patient, the prescribed medication, and the medical necessity for the treatment.
The purpose of www.scanhealthplan.com/scan-resources/pharmacy/prior-authorization-and-step is to ensure that prescribed medications are appropriate, safe, and cost-effective for the patient.
Information such as patient demographics, medical history, prescribed medication details, and the reason for the medication's necessity must be reported on www.scanhealthplan.com/scan-resources/pharmacy/prior-authorization-and-step.
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