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Did you know you can now submit all pharmacy prior authorization requests online?

Our online PA request form is fast, easy and best of all, requires no user IDs or passwords. Remember to bookmark this page for future reference.


Pharmacy prior authorization

Pharmacy prior authorizations are required for pharmaceuticals that are not in the formulary, not normally covered, or which have been indicated as requiring prior authorization.

Don't wait until you run out. Get automatic refill reminders in the member portal.