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Medicare preauthorization form for Part B drug benefit now available

Switch to:

Medicare preauthorization form for Part B drug benefit now available

02/27/2018

We have updated the preauthorization request form for Medicare Advantage Part B covered drugs that require prior approval. Using this form will help make sure we get all the information needed for a timely review of your request. Visit our Medicare provider manual to find out when and for what drugs you should use this form for.

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Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.

Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.