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REQUEST FOR ACCESS TO PROTECTED HEALTH INFORMATION Please note: If you need a list of the prescriptions you filled through Optum Specialty Pharmacy, simply call customer service at the member telephone number located on your pharmacy materials and ask us to mail you a copy of your medication history report.
Obtaining a prior authorization can be a time-consuming process for doctors and patients that may lead to unnecessary delays in treatment while they wait for the insurer to determine if it will cover the medication. Further delays occur if coverage is denied and must be appealed.
Submitting a PA request to OptumRx via phone or fax above. For urgent requests, please call us at 1-800-711-4555. (Hours: 5am PST to 10pm PST, Monday through Friday.)
Prior authorization is an approval of coverage from your insurance company, not your doctor. It's a restriction put in place to determine whether or not they will pay for certain medicines. It doesn't affect cash payment for prescriptions. Plus it's only required on those prescriptions when billed through insurance.
Electronic prior authorization is an electronic process established in the National Council for Prescription Drug Programs (NCPDP) SCRIPT Standard that enables patient and drug-specific PA criteria and a real-time approval for medication prior authorization.
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People also ask

Prior authorization\u2014sometimes called precertification or prior approval\u2014is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.
OptumRx and BriovaRx are subsidiaries of UnitedHealth Group. UnitedHealthcare and the dimensional U logo are trademarks of UnitedHealth Group Incorporated. All other trademarks are the property of their respective owners. Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates.
Prior authorization ensures that you get the prescription drug that is right for you and that is covered by your benefit. If it's determined that your plan doesn't cover the drug you were prescribed, you can ask your doctor about getting another prescription that is covered. You'll receive it for your plan's copayment.
First-time order: 8 to 11 days. Refills ordered online: 3 to 5 days.
Please call us at 800.753. 2851 to submit a verbal prior authorization request if you are unable to use Electronic Prior Authorization. Prior Authorization criteria is available upon request.

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