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Directory Results for Iowa Department of Human Services FAX Completed To 1 (800) 5742515 Request for Prior Authorization (ORAL) Provider Help Desk 1 (877) 7761567 (PLEASE PRINT ACCURACY IS IMPORTANT) IA Medicaid Member ID # Patient name DOB to Iowa Department of Human Services FAX Completed To 1 (800) 5742515 Request for Prior Authorization LUMACAFTOR/IVACAFTOR (ORKAMBI) IA Medicaid Member ID # (PLEASE PRINT ACCURACY IS IMPORTANT) Patient name Provider Help Desk 1 (877)

Iowa Department of Human Services FAX Completed To 1 (800) 5742515 Request for Prior Authorization (ORAL) Provider Help Desk 1 (877) 7761567 (PLEASE PRINT ACCURACY IS IMPORTANT) IA Medicaid Member ID # Patient name DOB
Iowa Department of Human Services FAX Completed To 1 (800) 5742515 Request for Prior Authorization LUMACAFTOR/IVACAFTOR (ORKAMBI) IA Medicaid Member ID # (PLEASE PRINT ACCURACY IS IMPORTANT) Patient name Provider Help Desk 1 (877)