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If you don’t see the right form in the list, you can use the universal pharmacy pa request form (pdf) otherwise, check for the drug class or drug name. Gives you information about the. Web how to request pa. Some types of care need prior authorization (pa), or approval, before you receive them.
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Learn what to claim prior authorization here. Tells you whether precertification is required, based on the code entered. ________________________ for mltss custodial requests only. To determine if prior authorization (pa) is required, enter up to six current procedural terminology (cpt) or healthcare common procedure coding.
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