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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F02572A (07/2020)STATE OF WISCONSIN Wis. Admin. Code DHS 107.10(2)FORWARDHEALTHPRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) FOR EUROPA

How to fill out prior authorization preferred drug

How to fill out prior authorization preferred drug

1. Contact your insurance provider to determine if prior authorization is required for the preferred drug.
2. Obtain the prior authorization form from your insurance provider or download it from their website.
3. Fill out the form completely and accurately, providing all necessary information about the preferred drug and the patient's medical condition.
4. Attach any required documentation, such as a prescription from the prescribing physician or medical records supporting the need for the preferred drug.
5. Submit the completed form and documentation to your insurance provider by the specified deadline.
6. Follow up with your insurance provider to confirm that the prior authorization has been approved.

Who needs prior authorization preferred drug?

1. Patients whose insurance coverage requires prior authorization for preferred drugs.
2. Healthcare providers who are prescribing a preferred drug that requires prior authorization.
3. Pharmacists who are dispensing a preferred drug that requires prior authorization.

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What is prior authorization preferred drug?

Prior authorization preferred drug is a specific medication that requires approval from the insurance company before it is covered.

Who is required to file prior authorization preferred drug?

Healthcare providers are typically responsible for filing prior authorization for preferred drugs on behalf of their patients.

How to fill out prior authorization preferred drug?

To fill out a prior authorization for a preferred drug, healthcare providers must submit necessary patient information, medical justification, and any required documentation.

What is the purpose of prior authorization preferred drug?

The purpose of prior authorization for preferred drugs is to control costs, encourage the use of generic alternatives, and ensure appropriate medication use.

What information must be reported on prior authorization preferred drug?

The information required on a prior authorization for a preferred drug typically includes patient demographics, diagnosis, medication prescribed, and reason for the request.