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 Coventry Prior Authorization Form 2010-2025

Coventry Reconsideration for Providers 2010-2025 Form

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Instructions and help about coventry prior auth form

a healthy welcome to you from ihp your Inland Empire health plan today you'll learn what happens when your medication needs a prior authorization ing to our clinical formulary guidelines the following cases require prior authorization one drugs not on the ihp formulary Two drugs covered but the doctor is prescribing more than ihp has authorized to approve a prior authorization request begins with your doctor who completes a prior authorization form and includes medical reasons why you need to take this medication your doctor submits the request form to ihp for review then we make a decision in one business day if we approve the request ihp will notify your doctor whose office will notify you so you can pick up your medication at the pharmacy if we do not approve the request a letter will be mailed out to you in the a letter we will tell you why we denied the request and explain what you need to do next at this point you still have a few options one you can call ihp member servi

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