Get the free Authorization or Step Therapy Exception Request Form. ...

Page 1 of 2PRESCRIPTION DRUG PRIOR AUTHORIZATION OR STEP THERAPY EXCEPTION REQUEST FORM Plan/Medical Group Name: CVS Earmarks for Sutter Health Prussian/Medical Group Phone#: (844) 7400635Plan/Medical

How to fill out authorization or step therapy

How to fill out authorization or step therapy

1. Contact your healthcare provider to discuss the necessity of authorization or step therapy.
2. Obtain the necessary forms from your insurance provider or pharmacy.
3. Fill out the forms completely and accurately, providing all required information.
4. Submit the completed forms to your insurance provider or pharmacy for review and approval.
5. Follow up with your healthcare provider and insurance provider to ensure that the authorization or step therapy process is progressing smoothly.

Who needs authorization or step therapy?

1. Individuals who have been prescribed a medication that requires prior authorization from their insurance provider before it can be covered.
2. Patients who need to undergo step therapy, which involves trying and failing on less expensive or lower-risk medications before gaining access to more expensive or high-risk medications.

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What is authorization or step therapy?

Authorization or step therapy is a process used by insurance companies or healthcare providers to determine the appropriate treatment plan for a patient by requiring certain steps to be taken before approving certain medications or procedures.

Who is required to file authorization or step therapy?

Healthcare providers, physicians, or pharmacists may be required to file authorization or step therapy based on the insurance company's policies or guidelines.

How to fill out authorization or step therapy?

Authorization or step therapy forms can typically be filled out by the healthcare provider or pharmacist and submitted to the insurance company for approval.

What is the purpose of authorization or step therapy?

The purpose of authorization or step therapy is to ensure that the treatment plan is cost-effective, safe, and appropriate for the patient before proceeding with certain medications or procedures.

What information must be reported on authorization or step therapy?

The information required on authorization or step therapy forms may include patient demographics, medical history, previous treatments, and reasons for requesting the specific medication or procedure.