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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

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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What is nurtec-medicare - health partners?
Nurtec is a medication used to treat migraine that may be covered under Medicare health plans provided by health partners.
Who is required to file nurtec-medicare - health partners?
Individuals who are prescribed Nurtec and are Medicare beneficiaries must file for coverage through their health partners.
How to fill out nurtec-medicare - health partners?
To fill out nurtec-medicare, beneficiaries must complete the necessary claim forms and provide documentation of their prescription for Nurtec.
What is the purpose of nurtec-medicare - health partners?
The purpose is to facilitate access to Nurtec for Medicare beneficiaries and to ensure reimbursement for the treatment of migraines.
What information must be reported on nurtec-medicare - health partners?
The information required includes patient details, prescription information, and proof of eligibility for Medicare benefits.
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