|
Some drugs that previously required special prior approval forms no longer require them. If the drug is not listed above, please submit prior approval requests using the regular prior approval form.
To request prior authorization
By phone: 1-800-252-8942
By fax: 1-217-524-7264
Forms are available for download in Adobe
Portable Document Format (PDF).
Requests submitted by fax must include a full description of the
dosage, quantity, and therapy duration for the drug, as well as
all pertinent information about the patient's medical condition,
and the results of therapy using drugs that do not require prior
authorization. |
