If possible: Switch to generic or a formulary medication esp. PPIs, asthma meds, statins. e.g., prescribe Omeprazole instead of Prilosec OR Omeprazole instead of Nexium.
Fingertip Formulary can be found here.
Medicare
Prescriptions are administered through various Part D drug plans.
Check back of patient's Drug Card or check with their pharmacy.
Medicaid
Check the formulary here
Complete the PA form and fax to the number provided.
Phone: (877) 309-9493
HealthFirst
Check the formulary here
Complete the PA form
Phone (Medicaid): (866) 463-6743 M-F 8am - 6pm.
Phone (Medicare): (888) 260-1010
Fidelis
Check the formulary here
No phone prior auth.
Complete the PA form
Fax form to 1-877-533-2405 (takes 3 business days).
Telephone follow up: (888) 343-3547 or (718) 896-6500 ext: 16081.
Amerigroup
Check the formulary here
Phone (for PA): (800) 454-3730
Pharmacy can dispense up to 72h supply while PA is reviewed.
Fax: (800) 359-5781 (24 hours to review this request).