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Prior Authorization - Medicaid: Utah Department of Health and
Listed below are all the PA forms you will need in order to request drugs that require prior authorization. To submit a request via fax:.
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Provider Welcome Packet
Through this site you may access member eligibility, claim status, submit authorizations, check participating providers, and download frequently used forms.
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Search Codes Requiring Prior Authorization
This document is intended only to provide information related to which CPT/HCPCs codes require prior authorization. It does not indicate/list codes which may be
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