Click the Prior Authorization tab on the left side of the page and choose Specialty Pharmacy
Enter the required information
Determination and review timeline
We will complete prior authorization reviews according to state-defined requirements. You’ll receive notifications of the case determination, including appeal rights, when applicable, within required time frames.
If you don’t provide sufficient clinical information, we may deny your prior authorization request. To help avoid denials, please include all documentation when submitting your prior authorization requests, according to applicable health plan protocols.