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Inrebic (fedratinib) Prior Authorization Request Form Caterpillar Prescription Drug Benefit Phone: 8772287909 Fax: 8004247640 Instructions: Please fill out all applicable sections completely and legibly.
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Magellan Rx Caterpillar forms are used to provide information about prescription drug coverage provided to employees, retirees, and dependents.
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Employers who sponsor prescription drug plans for their employees are required to file Magellan Rx Caterpillar forms.
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Information such as the name of the employer, the number of individuals covered, and the type of coverage provided must be reported on Magellan Rx Caterpillar forms.
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