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Web to provide notification/request prior authorization, please submit your request online or by phone: 6am to 3pm pacific prior authorization request form (page 1 of 2) do not copy for future. For forms to request prior. Web please use the forms below to request prior authorization for drugs covered under the medical benefit. They will provide us with the information.
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Web your doctor is responsible for getting a prior authorization. Web prior authorization information and forms for providers. Web to provide notification/request prior authorization, please submit your request online or by phone: Web plan information and forms. Submit a new prior auth, get prescription requirements, or submit case.
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