Page History

1. Select Prior Authorization

To find the prior authorization request:

• Select Pharmacy network, the prior authorization.
• If you request prior authorization regularly it will appear on the homepage.

2.

Go to the document or visit you want to copy then:

• Use CTR+A to select all
• Use CTR+C to copy (or right click and select copy)

Complete the Form

The minimum information we need is:

• Patient name
• Date of birth
• Drug (If not on the list include in the comment section)
• Prescriber (search by name or NPI)
• Pharmacy (search by name or phone number)

*Note: If you are a full service account you can select any pharmacy in the country.

3. Paste And Submit

Go to the portal and paste the information:

• Use CTR+V to paste (or right click and select paste)
• Hit Save and Submit