Video Tutorial
To see a very short video tutorial on this follow this link.
1. Select Form
Forms can be found be selecting the pharmacy network tab. Recent request types will also appear on the front page. There are two main request types:
- Prior Authorization
- Financial Assistance
2. Complete Form
Each form will require some basic information (patient name, DOB, prescriber, pharmacy).
- Manually by typing information.
- Adding a screenshot.
- Uploading excel file (for many requests at once).
