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Prepared For:BENEFIT CONTACT INFORMATION Prior to your effective date: You can send medical plan questions to: GHTinbox@aegiswi.com or send prescription drug questions to: GHTRxquestions@NationalCooperativerx.com.
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How to fill out specialty medicationprior authorization
How to fill out specialty medicationprior authorization
01
Contact the prescribing healthcare provider to obtain the correct prior authorization form.
02
Fill out the patient and prescriber information sections on the form.
03
Provide the information requested about the medication being prescribed and the medical necessity for it.
04
Include any supporting documentation such as medical records or test results that support the need for the specialty medication.
05
Submit the completed form and documentation to the insurance company or pharmacy benefit manager for review.
Who needs specialty medicationprior authorization?
01
Patients who have been prescribed specialty medications that require prior authorization.
02
Healthcare providers who are prescribing these specialty medications.
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What is specialty medicationprior authorization?
Specialty medication prior authorization is a process that requires approval from a health insurance company before a specific medication can be prescribed.
Who is required to file specialty medicationprior authorization?
Healthcare providers or patients may be required to file specialty medication prior authorization, depending on the insurance company's policies.
How to fill out specialty medicationprior authorization?
Specialty medication prior authorization forms can typically be filled out by healthcare providers and submitted to the insurance company electronically or by mail.
What is the purpose of specialty medicationprior authorization?
The purpose of specialty medication prior authorization is to ensure the appropriate use of costly or high-risk medications, and to control healthcare costs.
What information must be reported on specialty medicationprior authorization?
Information such as patient demographics, medical history, diagnosis, prescribed medication details, and supporting documentation may need to be reported on specialty medication prior authorization forms.
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