Specialty Medication Prior Authorization Form Peach State Health Plan
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People also ask
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What is the phone number for Peach State prior authorization?
You may also call 1-800-704-1483 to request outpatient authorizations for urgent and time sensitive services when warranted by the patient's condition. -
Who is the PBM for Peach State Health Plan?
Pharmacy Benefit Manager (PBM) Peach State Health Plan works with CVS/Caremark to pay for pharmacy claims. CVS/Caremark is our Pharmacy Benefit Manager (PBM). -
What pharmacy does Peach State Health Plan use?
Pharmacy Benefit Manager (PBM) Peach State Health Plan works with Envolve Pharmacy Solutions to pay for pharmacy claims. Some drugs on the PDL need a prior authorization (PA). Envolve Pharmacy Solutions reviews those requests. Envolve Pharmacy Solutions is our Pharmacy Benefit Manager (PBM). -
Is Peach State Health Plan the same as Medicaid?
Peach State Health Plan provides the same benefits as Medicaid and PeachCare for Kids®, plus more. In this section, you can learn about the health benefits, pharmacy services and value added services Peach State Health Plan offers. -
Who is the PBM of Georgia Medicaid?
OptumRx is the Pharmacy Benefits Manager for the Georgia Medicaid Fee For Service Outpatient Pharmacy Program. It processes all Fee For Service outpatient pharmacy claims on-line through Point of Sale transmission utilizing the NCPDP 5.1 communications standard. -
What are three drugs that require prior authorization?
Drugs That May Require Prior Authorization Drug ClassDrugs in ClassAnticoagulantsEliquis, , Savaysa, XareltoAntipsoriatic AgentsOtezla, , Taltz, TremfyaApokyn, KynmobiApokyn, KynmobiArcalystArcalyst59 more rows -
Is Peach State Health Plan the same as PeachCare?
Peach State Health Plan offers the same benefits covered by Medicaid and PeachCare for Kids®. We also offer enhanced benefits that extend your coverage. -
What is prior use authorization for medication?
Prior authorization requires the prescriber to receive pre-approval for prescribing a particular drug in order for that medication to qualify for coverage under the terms of the pharmacy benefit plan.
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