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Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician.Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician.For Medical Services: Description of service. Start date of service. End date of service. Service code if available (HCPCS/CPT) New Prior Authorization. Check Status. Complete Existing Request. Member.Southern Scripts

Pre - PA Allowance None _____ Prior-Approval Requirements Prior authorization for *Adipex-P , and *Plenity applies only to formulary exceptions due to being a non-covered medication. Age 17 years of age or older: *Adipex-P, Contrave, diethylpropion, Lomaira,Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician.Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician.Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician.For Medical Services: Description of service. Start date of service. End date of service. Service code if available (HCPCS/CPT) New Prior Authorization. Check Status. Complete Existing Request. Member.

Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician.Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician.Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician. ….

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Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician.UM decision making is based only on appropriateness of care and service and existence of coverage. PA Logic Solutions does not specifically reward practitioners or other individuals for issuing denials of coverage. Financial incentives for UM decision makers do not encourage decisions that result in underutilization.

Moving forward, please visit CoverMyMeds or via SureScripts in your EHR to learn more and submit all new PA requests electronically. If you are unable to use electronic prior authorization, you can call us at 1 (800) 882-4462 to submit a prior authorization request. Find instructions on how health care providers can request precertifications ...For Medical Services: Description of service. Start date of service. End date of service. Service code if available (HCPCS/CPT) New Prior Authorization. Check Status. Complete Existing Request. Member.Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician.

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