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OptumRx Prior Authorization Form.pdf
This form may be used for non-urgent requests and faxed to 1-800-527-0531. Please note: All information below is required to process this request. Mon-Fri
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MEGAscript Kit User Guide (Pub. no. 1330M Rev. G)
Access worldwide telephone and fax numbers to contact Technical Support and. Sales facilities. Search through frequently asked questions (FAQs). Submit a
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Pharmacy Prior Authorization General Requirements and
For prior authorization requests initiated by fax, the prescribing provider must submit the completed, signed, and dated Prior Authorization Form and the
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