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What is an Authorization Form? An authorization form is a document that is duly endorsed by an individual or organisation which grants permission to another individual or organisation to proceed with certain actions. It is often used to grant permission to carry out a specific action for a fixed period of time.
Blue Shield of California is a Registered mark of the BlueCross BlueShield Association, an association of independent Blue Cross and Blue Shield plans. Blue Shield of California and Mylifepath are service marks of Blue Shield of California.
Prior authorization means that your doctor must get approval from Blue Shield before prescribing specific medications or performing a particular medical service or operation. Without this prior approval, Blue Shield may not pay for your medication or medical procedure, and you will have to pay out of pocket.
Providers also have the option to use electronic prior authorization, or complete the California standard Prescription Drug Prior Authorization Request Form and fax to (888) 697-8122.
If you have questions related to Blue Shield Promise medical or pharmacy authorizations, contact Provider Services at (800) 468-9935.

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For drug formulary information and to request prior authorization for Medi-Cal and Cal MediConnect member outpatient prescription drugs and home self-administered injectables, call (800) 468-9935.
Prior authorization means that your doctor must get approval from Blue Shield before prescribing specific medications or performing a particular medical service or operation. Without this prior approval, Blue Shield may not pay for your medication or medical procedure, and you will have to pay out of pocket.
To submit a medical prior authorization: Login Here and use the Prescription Drug Prior Authorization or Step Therapy Exception Request Form (No. 61-211) English (PDF).

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