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Select the requested drug Select the diagnosis below Bipolar depression Obstructive sleep apnea/hypopnea syndrome OSAHS Fatigue due to multiple sclerosis MS Narcolepsy Idiopathic hypersomnolence Shift work sleep disorder Major depressive disorder Other diagnosis Yes No Has the diagnosis of narcolepsy been confirmed by a sleep study If a sleep study has not been completed please provide justification why a sleep study would not be feasible Sleep study information If this is a reauthorization req ...

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Got questions?

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

What is the fax number for OptumRx specialty prior authorization?

Please have the doctor or a qualified member of the office staff complete the next page(s) and fax the completed form to 1-844-403-1024. If you have questions or want to speak with an Optum Rx Prior Authorization Advocate, call 1-800-711-4555.

Do you need a prior authorization for modafinil?

Pharmacy providers are required to have a completed Prior Authorization Drug Attachment for Modafinil and Nuvigil form signed by the prescriber before submitting a prior authorization (PA) request on the Portal, by fax, or by mail. Providers may call Provider Services at 800-947-9627 with questions.

How long does it take for pre authorization on medication?

The prior authorization process can range from a few days to a few weeks. This can depend on the urgency of getting the medication, the speed of the provider and insurance communicating, and the complexity of completing all the required steps.

What is the prior authorization criteria for OptumRx?

Prior authorization (PA) requires your doctor to tell us why you are taking a medication to determine if it will be covered under your pharmacy benefit. Some medications must be reviewed because they may: Only be approved or effective for safely treating specific conditions.

Does Provigil need prior authorization?

All requests for Provigil (modafinil) and Nuvigil (armodafinil) require a prior authorization and will be screened for medical necessity and appropriateness using the criteria listed below. diagnosis of Narcolepsy or Obstructive Sleep Apnea/Hypopnea Syndrome.

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Will insurance cover modafinil?

To find out how much youll pay for modafinil, talk with your doctor, pharmacist, or insurance provider. Note: If you have insurance, you may need to get prior authorization before your insurance provider will cover modafinil. This means your insurer and your doctor will discuss modafinil in regard to your treatment.

What are three drugs that require prior authorization?

Drugs That May Require Prior Authorization Drug ClassDrugs in ClassAmvuttraAmvuttraAndrogens-Anabolic SteroidsAndrol-50, Danazol, Nandrolone, OxandrinAnticoagulantsEliquis, Pradaxa, XareltoAntipsoriatic AgentsOtezla, Stelara, Taltz, Tremfya242 more rows

Is Provigil a controlled medication?

Yes, Provigil is a controlled substance. Its classified as a schedule IV prescription drug. This means it has an accepted medical use but may also cause physical or psychological dependence and may be abused.

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