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How do I find out more information about medication prior authorization?

Some medications require prior authorization from your plan before they can be dispensed by your pharmacy. This helps us ensure that your prescriptions are medically necessary. To determine if a medication requires prior authorization, look at the Pharmacy Formulary. Medications that require prior authorization are listed in the formulary as “PA.”. Your doctor can request these medications by submitting a prior authorization request. Information about covered medications, medication prior authorization requirements and pharmacy plan benefits are available here.

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Priority Partners members whose medical care is impacted by the recent collapse of the Francis Scott Key Bridge are encouraged to call our Customer Service team for assistance at 800-654-9728.
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