2018 optumrx prior request-2025

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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.
Contact us
For urgent or expedited requests please call 1-800-711-4555. This form may be used for non-urgent requests and faxed to 1-844-403-1028.
To have your doctor make a request Your doctor or provider can contact UnitedHealthcare at 1-800-711-4555 for the Prior Authorization department to submit a request. The plans decision on your request will be provided to you by telephone and/or mail.
Check the status of your PA by signing into optumrx.com Benefits and claims Prior authorization or exception request. You will see the status of any active PAs in process. If your medication is approved, the PA is entered and coverage will be provided under your benefit.
The patient or their representative can contact their insurance company and provide the relevant information to start the Prior Authorization process. Its best to confirm with the healthcare provider if they have the information and are willing to submit the request.
If you need a list of the prescriptions you filled through OptumRx, you can view and print this information from your online account at .optumrx.com by logging in and selecting Claims History or by contacting customer service at the telephone number located on your health or pharmacy benefit plan ID card.
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People also ask

Optum Rx Pharmacy Helpdesk at (800) 788-7871 at the time they are filling the prescription for a one-time override. Optum Rx has partnered with CoverMyMeds to receive prior authorization requests, saving you time and often delivering real-time determinations.
To submit these requests, please contact our PA department at 1-800-711-4555.

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