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Members Last Name:Members First Name:University of Michigan Nexletol, Nexlizet (bempedoic acid) Some of the information needed to make a determination for coverage is not specifically requested on
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How to fill out bempedoic acid prior authorization

01
Contact the patient's insurance company to determine if prior authorization is required for bempedoic acid.
02
Complete the prior authorization form provided by the insurance company.
03
Include all relevant patient information, such as medical history and diagnosis, on the form.
04
Submit the completed form along with any supporting documents, such as lab results or prescription information, to the insurance company for review.
05
Follow up with the insurance company to confirm approval of the prior authorization request.

Who needs bempedoic acid prior authorization?

01
Patients who have been prescribed bempedoic acid by their healthcare provider may need prior authorization from their insurance company.
02
Healthcare providers who are prescribing bempedoic acid to their patients may also need to complete prior authorization requirements.
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Bempedoic acid prior authorization is a healthcare process that requires healthcare providers to obtain approval from an insurance company before a patient can start treatment with bempedoic acid, which is used to lower cholesterol levels.
Typically, healthcare providers or prescribers who intend to prescribe bempedoic acid for their patients must file the prior authorization request.
Filling out bempedoic acid prior authorization generally involves completing a specific form provided by the insurance company, which includes patient information, medical history, treatment details, and justification for the need for bempedoic acid.
The purpose of bempedoic acid prior authorization is to ensure that the medication is clinically appropriate for the patient and to control healthcare costs by preventing unnecessary prescriptions.
The information that must be reported typically includes patient's demographics, medical history, current medications, diagnosis, and evidence of previous treatments with statins or other cholesterol-lowering drugs.
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