Prior Authorization for Medications

A prior authorization (PA) is required to ensure certain medications meet medical necessity guidelines. Your physician or provider must submit a medication request form to MedImpact for review before the prescription can be filled.

To obtain a PA for your medications:

• Your physician or provider can call MedImpact at (800) 788-2949 to request a prior authorization form, or
• Your pharmacist can call MedImpact at (800) 788-2949 to request a prior authorizaton form be faxed to your physician or provider.

After the prior authoization process has been competed, you will receive a letter indicating the status of your PA. You can also check the status of a PA by calling MedImpact at (800) 788-2949.

A list of medications that require a PA can be found here: Medications Requiring Prior Authorization