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Multiple sclerosis prior authorization - physician fax form

Multiple sclerosis prior authorization - physician fax form 2025

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The document is a prior authorization fax form for physicians to request approval for multiple sclerosis medications. It requires detailed patient and physician information, medication specifics, and documentation of previous treatments. Incomplete submissions will be returned, and the form must be sent to Prime Therapeutics for review.

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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 Caremark electronic PA form?

To make an appropriate determination, providing the most accurate diagnosis for the use of the prescribed medication is necessary. Please respond below and fax this form to CVS Caremark toll-free at 1-866-249-6155. If you have questions regarding the prior authorization, please contact CVS Caremark at 1-866-814-5506.

What is the fax number 888 836 0730?

Providers can fax the Pharmacy Prior Authorization form to CVS Health at 1-888-836-0730 or call the CVS Utilization Management Department at (877) 433-7643. We encourage enrollees to use the CVS Caremark Mail Order Pharmacy. Below you will find the CVS Caremark Mail Order Fax Form.

How do I submit a PA to CVS Caremark?

If a prescription requires a PA, there are multiple ways to start the PA process. A PA may be initiated by phone call, fax, electronic request or in writing to CVS Caremark by a members prescribing physician or his/her representative.

What is the fax number for CVS Caremark PA?

Complete/review information, sign and date. Fax signed forms to CVS/Caremark at 1-888-836-0730.

What is the fax number for CVS Caremark?

This is called e-prescribing and is the simplest way to send a prescription. By phone or fax Ask your doctor to submit your prescription for a 90-day supply to CVS Caremark by calling (800) 378-5697 or faxing (800) 378-0323.

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