MEDCO-31 - Request for Prior Authorization of Medication Form 2025

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The document is a Request for Prior Authorization of Medication form that must be completed by the prescriber and faxed to a specified number. It collects information about the injured worker, prescriber details, requested medication, relevant ICD-9 codes, and justification for the medication request related to the worker's injury. The form also includes sections for documenting allergies and post-surgical medication requests.

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See more MEDCO-31 - Request for Prior Authorization of Medication Form versions

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (270 Votes)
2013	4 Satisfied (58 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can a doctors office charge for prior authorization for medication?

Can doctors charge for prior authorizations? Physicians and other healthcare providers do not usually charge for prior authorizations. Even if they wanted to, most contracts between providers and payers forbid such practices.

Who do you call for prior authorization for medication?

Your health care provider can make the prior authorization request. If your provider submits the request, they will send the required information to your health plan. You may need to fill out forms for your providers office.

What is Medco insurance phone number?

Return Material Policy. Terms are subject to change at the discretion of Medco Sports Medicine. Please call customer service at 800.556. 3326 for a copy of the most current version.

What number is 877 363 1303?

Call Express Scripts at 1-877-363-1303. Search TRICARE Formulary.

Who is 800 282-2881?

Express Scripts Pharmacy Members For help with your prescription benefit or prescriptions filled through the Express Scripts Pharmacy, call Patient Customer Service at the number on your prescription ID card or call 1 (800) 282-2881.

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What is the phone number for Medco prior authorization?

Your doctor can initiate the prior authorization process by calling Express Scripts toll-free at 800‑417‑8164 or by fax at 800‑357‑9577. If you plan to fill your prescription at a retail pharmacy, consider completing the prior authorization with your doctor before you go to the pharmacy.

MEDCO-31 - Request for Prior Authorization of Medication Form 2025

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Can a doctors office charge for prior authorization for medication?

Who do you call for prior authorization for medication?

What is Medco insurance phone number?

What number is 877 363 1303?

Who is 800 282-2881?

Complete this form in 5 minutes or less

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What is the phone number for Medco prior authorization?

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