What is a prior authorization CVS?
Prior Authorization is a cost-savings feature of your prescription benefit plan that helps ensure the appropriate use of selected prescription drugs. This program is designed to prevent improper prescribing or use of certain drugs that may not be the best choice for a health condition.
How do I get a prior authorization for a prescription?
How Does Prior Authorization Work?
- Call your physician and ensure they have received a call from the pharmacy.
- Ask the physician (or his staff) how long it will take them to fill out the necessary forms.
- Call your insurance company and see if they need you to fill out any forms.
What is a pre authorization for prescription?
A prior authorization (PA), sometimes referred to as a “pre-authorization,” is a requirement from your health insurance company that your doctor obtain approval from your plan before it will cover the costs of a specific medicine, medical device or procedure.
What is an exception request form?
An exception request is a review and approval process by appropriate personnel of the proposed exception. • The Financial Services Policy or Procedure Exception Request Form includes the information needed to make an informed decision on whether to grant the exception.
How to contact CVS Caremark about prior authorization?
For questions about a prior authorization covered under the pharmacy benefit, please contact CVS Caremark* at 855-582-2038. For questions about FEP members and their prior authorization, please call 800-469-7556.
How to fill out a CVS RX authorization form?
Step 2 – In “Prescriber Information”, provide the prescriber’s full name, full address, office phone number, office fax number, and supply a name of a contact person. Step 3 – In “Diagnosis and Medical Information”, specify the medication, strength, frequency, expected length of therapy, quantity, and day supply.
How can I print my CVS drug policy?
To print or save an individual drug policy, open the PDF, click “File”, select “Print” and enter the desired page range. For questions about a prior authorization covered under the medical benefit, please contact CVS Caremark* at 888-877-0518.
How to request prior authorization for a drug?
To view of a full list of drugs that have prior authorization and/or site of care requirements under the medical benefit, visit the Specialty Drug List. Prior authorization requests for drugs covered under the medical benefit must be submitted electronically through the CareFirst Provider Portal.
