Prior Authorization of Benefits (PAB) Form 2026

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Prior authorization requires your doctor or provider to obtain approval from your health plan before providing health care services or prescribing prescription drugs. Without prior authorization, your health plan may not pay for your treatment or medication. (Emergency care doesnt need prior authorization.)
The Medication Request Form (MRF) is submitted by participating physicians and providers to obtain coverage for formulary drugs requiring prior authorization (PA); non-formulary drugs for which there are no suitable alternatives available; and overrides of pharmacy management procedures such as step therapy, quantity
The process of obtaining prior authorization from the health plan is usually initiated by the medical provider (doctor, hospital, etc.), but the patient is sometimes involved as well.
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