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Prior Authorization Request Form Member OptumRx

Prior Authorization Request Form Member OptumRx

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you and your doctor have selected a new medicine to treat your condition you're relieved you're hoping this treatment will work better than the last and you're hoping that it will improve your quality of life but before you can fill your prescription or have it administered in the doctor's office you may need your health plans approval it's a process known as prior authorization prior authorization may require your doctor to submit paperwork along with your lab results and records it can be a multi-step process if the health insurer finds an error in the paperwork are determines that you don't meet their requirements they can deny the request you and your physician can appeal but the insurer may deny your request again the process can block access to your medication for days even weeks prior authorization is intended to stop unnecessary use of costly drugs but for health plans that has become a tool for cutting expenses especially for innovative drugs like biologics for doctors and ot

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