Prior Authorization Request Form (Page 1 of 2) - OptumRx

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FAQs about Prior Authorization Request Form (Page 1 of 2) - OptumRx Coupon?

How do I get a prior authorization request from Optum RX?

Optum Rx has partnered with CoverMyMeds to receive prior authorization requests, saving you time and often delivering real-time determinations. Visit go.covermymeds.com/OptumRx to begin using this free service. Please note: All information below is required to process this request. Mon-Fri: 5am to 10pm Pacific / Sat: 6am to 3pm Pacific ...

How do I submit a PA request to OptumRx?

To submit a Prior Authorization (PA) request to OptumRx, log in to your Dashboard and submit your request. OptumRx also offers phone and fax submission options, except for MA, RI, SC, and TX. ...

Can Optum RX review a medical request?

Optum Rx is not authorized to review requests for medications Supplied by the physician's office. For additional information, please contact the patient's medical benefit. This request may be denied unless all required information is received. ...

What is not authorized for OptumRx to review?

OptumRx is not authorized to review requests for medications supplied by the physician’s office. For requests for buy and bill, please contact the patient’s medical benefit. ...

Can I copy Optum Rx for future use?

DO NOT COPY FOR FUTURE USE. FORMS ARE UPDATED FREQUENTLY AND MAY BE BARCODED Your patient's pharmacy benefit program is administered by UnitedHealthcare, which uses Optum Rx for certain pharmacy benefit services. Your patient’s benefit plan requires that we review certain requests for coverage with the prescribing physician. ...

How can I access the OptumRx UM program?

To access the OptumRx UM program, you can submit your PA request through your Dashboard. This program enables a faster turnaround time of coverage determinations for most PA types and reasons. ...