Texas Standard Prior Auth Form - Web do not use this form to: 4) request a guarantee of payment; Web submit electronically, through the issuer’s portal, to request prior authorization of a prescription drug benefit. Web texas standard prior authorization request form for prescription drug benefits.
Web texas standard prior authorization request form for prescription drug benefits. 4) request a guarantee of payment; Web submit electronically, through the issuer’s portal, to request prior authorization of a prescription drug benefit. Web do not use this form to: