CHAMPVA (VA Health Administration Center)

Pharmacy and drug authorizations

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

pharmacy help desk

CHAMPVA — OptumRx Pharmacy Help Desk

Official page read
Phone888-546-5503

Pharmacists’ questions and assistance submitting CHAMPVA pharmacy claims.

Published hours

Not published in this record

Product, plan and location

va
National contact — confirm product and location

Mailing address

Not researched for this route

Purpose is stated on the current CHAMPVA provider page. This does not establish eligibility, coverage or authorization for an individual.

View source ↗ · Source checked 2026-10-22 · Source updated 2026-10-22

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

pharmacy prior auth

CHAMPVA — OptumRx prior authorization for Wegovy and Zepbound

Official page read
Phone844-403-1029Published hours

Not published in this record

Product, plan and location

va
National contact — confirm product and location

Mailing address

Not researched for this route

Page: prior authorization is required for Wegovy and Zepbound; submit to OptumRx at this number. CHAMPVA does not cover GLP-1 drugs for weight loss.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

Have ready in your secure workspace

  • PBM name and the pharmacy identifiers on the card
  • Drug, formulation and prescription information
  • Prescriber details and previous review reference

Questions to resolve

  • Is this processed under the medical or pharmacy benefit?
  • What is the correct review and submission channel?
  • Is there a separate specialty pharmacy or appeal team?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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A request does not create an account or start a call. Use business contact information only. No patient information.

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