WebIf necessary, the designated fax number for medical injectable authorization requests (including Site of Care drug authorization requests) is 833-581-1861. The Site of Care request fax form can be found here on the Provider Resource Center in the left-hand menu under FORMS then Medical Injectable Drugs. Last updated on 3/11/2024 1:30:36 PM. WebAsk your provider to go to Prior Authorization Requests to get forms and information on services that may need approval before they prescribe a specific medicine, medical device or procedure. Find a Doctor or Hospital Use our Provider Finder® to search for doctors and pharmacies near you. Contact Us 1-888-657-6061 (TTY 711)

Medical Specialty Drug Authorization Request Form

WebEffective February 13, 2024, Highmark will incorporate MCG Health clinical guidelines into Highmark’s criteria of clinical decision support, replacing Change Healthcare (InterQual). This change is being made to align the clinical review … WebMedical Specialty Drug Authorization Request Form . Please print, type or write legibly in blue or black ink. Once completed, please fax this form to the designated fax number for … philip reisinger adelaide

Specialty Drug Request Form-converted (4) - Highmark

WebHighmark requires authorization of certain services, procedures, and/or Durable Medical Equipment, Prosthetics, Orthotics, & Supplies ( DMEPOS) prior to performing the procedure or service. The authorization is typically obtained by the ordering provider. Some authorization requirements vary by member contract. WebLog in to your account to manage your specialty prescriptions. You can: Order a refill; Check your order status; View your prescriptions; Your Care Team support. Call Specialty … WebLog in to your account to manage your specialty prescriptions. You can: Order a refill Check your order status View your prescriptions Your Care Team support Call Specialty Pharmacy Member Services at 1-833-255-0646 (TTY 711) anytime … trusted information sharing network tisn