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Pharmacy Prior Authorization Request Form Note: To ensure that prior authorizations are reviewed promptly, submit request with current clinical notes and relevant lab work. Fax completed form to:

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What is molina healthcare of ohio?

Molina Healthcare of Ohio is a managed care company that provides health care services to residents of Ohio.

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Healthcare providers who are contracted with Molina Healthcare of Ohio are required to file with the company.

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Providers can fill out Molina Healthcare of Ohio forms online through the provider portal or by submitting paper forms via mail.

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The purpose of Molina Healthcare of Ohio is to provide affordable and quality healthcare services to residents of Ohio.

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Providers must report services rendered, diagnosis codes, treatment plans, and any other relevant medical information on Molina Healthcare of Ohio forms.

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