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Prior Authorization

Drugs that are not listed in the formulary must be approved by your plan before they can be filled at the pharmacy. Your doctor can request this drug by filling out a prior authorization request.

Your prescribing doctor will need to tell us the medical reason why your Priority Partners plan should authorize coverage of your prescription drug. Without the necessary information on the prior authorization form, we may not approve coverage of the drug. If the request is approved, you will be able to fill the prescription for this drug at the pharmacy. Medications that require prior authorization are listed in the formulary as “PA.”

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