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Optumrx dupixent prior authorization form

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OptumRx has collaborated with CoverMyMeds to streamline the prior authorization process for Dupixent, allowing for quicker determinations. The document includes a detailed request form requiring member and provider information, medication details, and clinical information necessary for processing. It emphasizes the importance of providing complete information to avoid denial of requests and outlines contact details for urgent inquiries.

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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.

How do I get prior authorization for Dupixent?

You can obtain the appropriate PA form through DUPIXENT MyWay, CoverMyMeds, or your patients insurance provider or specialty pharmacy.

How do I submit a claim to OptumRx?

Send completed form with pharmacy receipt(s) to: Optum Rx Claims Department, PO Box 650334, Dallas, TX 75265-0334 Note: Cash and credit card receipts are not proof of purchase. Incomplete forms may be returned and delay reimbursement. Reimbursement is not guaranteed.

How do I find my prior authorization OptumRx?

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.

How do I submit a prescription to OptumRx?

(OptumRx Mail Service) 6800 W 115th St, Suite 600 Overland Park, KS 66211-9838 NCPDP: 1718634 Call 1-800-791-7658 Provide a verbal prescription directly to an Optum Rx provider dedicated pharmacist. Fax 1-800-491-7997 Send a complete prescription using the Physician Fax Form.

How do I submit a prior authorization to OptumRx?

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.)

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How to submit OptumRx prior authorization form?

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.

How does pharmacy prior authorization work?

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.

How do I complete a prior authorization?

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.