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PRIOR AUTHORIZATION REQUEST FORMNurtecMedicare Phone: 2159914300Fax back to: 8663713239Health Partners Plans manages the pharmacy drug benefit for your patient. Certain requests for coverage require
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How to fill out nurtec-medicare - health partners

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How to fill out nurtec-medicare - health partners

01
Contact your healthcare provider to see if Nurtec-Od is right for you.
02
If approved, the healthcare provider will submit a prior authorization form to Health Partners for coverage approval.
03
Once approved, the healthcare provider can prescribe Nurtec-Od and you can fill the prescription at a participating pharmacy.

Who needs nurtec-medicare - health partners?

01
Patients who suffer from migraines and have Health Partners insurance may be eligible for Nurtec-Od.
02
Individuals who have tried other migraine medications without success may also benefit from Nurtec-Od.
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Nurtec is a medication used to treat migraine that may be covered under Medicare health plans provided by health partners.
Individuals who are prescribed Nurtec and are Medicare beneficiaries must file for coverage through their health partners.
To fill out nurtec-medicare, beneficiaries must complete the necessary claim forms and provide documentation of their prescription for Nurtec.
The purpose is to facilitate access to Nurtec for Medicare beneficiaries and to ensure reimbursement for the treatment of migraines.
The information required includes patient details, prescription information, and proof of eligibility for Medicare benefits.
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