How to Use Your Pharmacy Benefits

What is a Prior Authorization?

The prior authorization is simply an effort on the part of your insurance company to make it difficult to secure the medication using your pharmacy benefits.  You have already met with your doctor, discussed the medication, its risks and benefits and your doctor has prescribed the medication.

The prescription is available at your pharmacy and you can immediately pick up the medication. Without the prior authorization your insurance company may ask you to pay directly for the medication, but ultimately that is your choice. 

You can think of a prior authorization like a rebate.  If you’ve ever bought anything that offered a rebate you’ll appreciate that it is very difficult to secure that rebate and that is intentional.  The prior authorization process was created by insurance companies to save them money and make it difficult for you to get your medication while using your pharmacy benefits.

A Simple Prior Authorization Process

How to Request a Prior Authorization

In order for a prior authorization to be completed by your prescribing physician you must complete the prior authorization request form below.

Once your prescribing clinician receives the form that you completed online, they will initiate the prior authorization process via www.CoverMyMeds.com.  Please understand that this process will not start until you complete this form below.  It will usually take several days to 2 weeks for the insurance company to render a decision.

Please remember that the prescription has already been sent in and is available for immediate pickup.  The entire prior authorization process was created by insurance companies to make it difficult for you to use your pharmacy benefits.  There is nothing your clinician can do to speed the process up.  The sooner you complete this form below, the sooner the process can begin.

PRIOR AUTHORIZATION

Prior Authorization Request Form

Enter your first name as listed on file. (Exact match required for successful submission.)

Enter your last name as listed on file. (Exact match required for successful submission.)

Enter your email address as listed on file. (Exact match required for successful submission.)








Enter your date of birth in this format: MM / DD / YYYY.

System is limited to a binary selection.




(i.e. Capsules, Tablets




Who manages your pharmacy benefits?
The information in this section may be found on your insurance card or separate pharmacy benefit card.




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