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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F00081 (01/2024)STATE OF WISCONSIN Wis. Admin. Code DHS 107.10(2)FORWARDHEALTHPRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) FOR OPIOID

How to fill out prior authorization preferred drug

How to fill out prior authorization preferred drug

1. Obtain the necessary form for prior authorization preferred drug from your insurance company or pharmacy.
2. Fill out the form with accurate and detailed information about the patient, prescriber, drug being requested, and reason for the request.
3. Attach any supporting documents such as medical records or lab results that justify the need for the preferred drug.
4. Submit the completed form and documents to the designated address or fax number provided by the insurance company or pharmacy.
5. Wait for confirmation that the prior authorization request has been approved or denied, and follow up as needed.

Who needs prior authorization preferred drug?

1. Patients who are prescribed a preferred drug that requires prior authorization.
2. Healthcare providers who want to ensure that their patients receive the most cost-effective and clinically appropriate treatment.

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What is prior authorization preferred drug?

Prior authorization preferred drug is a specific medication that requires approval from the insurance company before it can be dispensed.

Who is required to file prior authorization preferred drug?

Healthcare providers are typically responsible for filing prior authorization for preferred drugs on behalf of their patients.

How to fill out prior authorization preferred drug?

To fill out prior authorization for preferred drugs, healthcare providers need to provide specific information about the patient's medical history, diagnosis, and reason for needing the medication.

What is the purpose of prior authorization preferred drug?

The purpose of prior authorization for preferred drugs is to ensure that medications are being used appropriately and to control costs for insurance companies.

What information must be reported on prior authorization preferred drug?

Providers need to report the patient's diagnosis, medical history, current medications, and why the preferred drug is needed over other alternatives.