PREAUTHORIZATION REQUESTS
OBTAINING AN AUTHORIZATION FOR CERTAIN REQUIRED TYPES OF TREATMENTS BEFORE THEY ARE PERFORMED, WHICH CAN BE FOUND ON THIS PHARMACY POLICY SITE. AUTHORIZATION REQUESTS CAN TAKE UP TO 7 CALENDAR DAYS TO COMPLETE. PLEASE ALLOW AT LEAST 7 DAYS FROM THE TIME OF YOUR REQUEST TO RECEIVE NOTIFICATION OF OUR DECISION.
How Do I Submit a Pharmacy Preauthorization?
- Work with your provider to submit a preauthorization request through CoverMyMeds
- Work with your provider to submit through the following online form: Universal PA Request
- Standard Prescription Drug Guide 10/16/2026 4:46:20 PM +00:00
- Standard Prescription Drug Guide Updates 10/16/2026 4:46:21 PM +00:00
- Contraception Drugs and Methods Pharmacy List 10/16/2026 4:46:25 PM +00:00
- Outpatient Drug Exclusions List 10/16/2026 4:46:26 PM +00:00
- Formulary Exception Form 10/16/2026 4:46:24 PM +00:00
- NetResults Biosimilar Plus (PDL25) - 2027-01-01 10/16/2026 4:46:23 PM +00:00
- Preventive Prescription Drug List 10/16/2026 4:46:28 PM +00:00
- Standard Pharmacy-Related Prior Authorizations 10/16/2026 4:46:29 PM +00:00
- Specialty Pharmacy Information 10/16/2026 4:46:31 PM +00:00
- Specialty Pharmacy Drug Management List 10/16/2026 4:46:30 PM +00:00
- Specialty Medication Enrollment Form 10/16/2026 4:46:33 PM +00:00
- Home Delivery Registration & Prescription Order Form 10/16/2026 4:46:34 PM +00:00