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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F11092A (07/2024)STATE OF WISCONSIN Wis. Admin. Code DHS 107.10(2)FORWARDHEALTHPRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) FOR DRUGS

How to fill out prior authorizationpreferred drug list

How to fill out prior authorizationpreferred drug list

1. Contact your insurance provider to obtain the prior authorization form.
2. Gather required information such as patient's personal information, prescribing physician information, and drug information.
3. Fill out the form completely and accurately, making sure to include all necessary details.
4. Submit the completed form to your insurance provider either online, via fax, or by mail.
5. Wait for approval notification from the insurance provider before proceeding with obtaining the preferred drug.

Who needs prior authorizationpreferred drug list?

1. Patients who are prescribed medications that are on the preferred drug list but require prior authorization to be covered by their insurance.

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What is prior authorization preferred drug list?

The prior authorization preferred drug list is a list of medications that require approval from a healthcare provider or insurer before they are covered, ensuring that drugs are used appropriately and that safer or more cost-effective alternatives are considered.

Who is required to file prior authorization preferred drug list?

Healthcare providers, such as doctors and pharmacists, are typically required to file prior authorization requests for specific medications listed on the preferred drug list to ensure insurance coverage.

How to fill out prior authorization preferred drug list?

To fill out a prior authorization request, the healthcare provider must complete a designated form provided by the insurance company, detailing the patient's information, medication requested, alternative treatments considered, and the rationale for the request.

What is the purpose of prior authorization preferred drug list?

The purpose of the prior authorization preferred drug list is to control prescription drug costs, encourage the use of effective treatments, and ensure that patients are prescribed medications that are appropriate for their health conditions.

What information must be reported on prior authorization preferred drug list?

Information that must be reported includes patient details (name, date of birth), medication requested, diagnosis, any previous treatments, supporting clinical information, and the prescriber's information.