Anthem Medication Prior Authorization Form - Web updated june 02, 2022. Some drugs, and certain amounts of some drugs, require an approval before they are eligible to be covered by your benefits. We review requests for prior authorization (pa) based only on whether. Any incomplete sections will result in a delay in processing. Complete this form in its entirety. An anthem (blue cross blue shield) prior authorization form is what physicians will use when requesting payment for a patient’s prescription cost.
We review requests for prior authorization (pa) based only on whether. Web updated june 02, 2022. Complete this form in its entirety. Some drugs, and certain amounts of some drugs, require an approval before they are eligible to be covered by your benefits. Any incomplete sections will result in a delay in processing. An anthem (blue cross blue shield) prior authorization form is what physicians will use when requesting payment for a patient’s prescription cost.