A Health Care Plan that Cares for People First.
Pharmacy Corner Menu
Search
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 download the form below: Medication Request Form  |
|
Your pharmacist can call MedImpact at (800) 788-2949 to request a prior authorization form be faxed to your physician or provider. |
| After the prior authorization process has been completed, 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. The following medications require a Prior Authorization. Changes to this list can occur at any time during the plan year. |
|
|