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Pharmacy Prior Authorization Information
- Pharmacy prior authorization information,
Preferred Medication List and forms can be
found at the RegenceRx
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- Pharmacy inquiries should be directed to:
- Phone - 1 (800) 643-5918
- Fax - 1 (800) 884-4282
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| Important prior authorization reminders: |
- Before requesting prior authorization,
please verify eligibility, benefits and medically
managed delegation services through Customer
Service.
- Verification of member eligibility is valid
if obtained within five business days of
the service except in the case of a misrepresentation.
- Member contracts determine benefits. Contract
exclusions will not be prior authorized.
Denials may be appealed through Customer
Service.
- Prior authorization obtained within 90
business days prior to the service is valid
except in the case of a misrepresentation.
- Medication policies related to specific
prior authorization requirements may be available online.
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