Florida Blue

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 prior auth

Physician Administered Drug Program (PADP) — Prime Therapeutics Management

Official page read
Phone800-424-4947Fax

888-656-6671

Published hours

Monday–Friday, 8:00 a.m.–6:00 p.m. Eastern (per provider manual)

Product, plan and location

Confirm the exact product or service
Florida

Mailing address

Not researched for this route

Menu guidance in the source record

Option 1

Menus can change. No live call verification is claimed.

Pre-service requests for provider-administered drugs in the PADP. Routine requests also via gatewaypa.com; urgent/expedited requests by phone only per the manual.

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

pharmacy prior auth

Part D and retail electronic prior authorization — CoverMyMeds

Official page read
Phone866-452-5017Published hours

Not published in this record

Product, plan and location

commercial · medicare part d
Florida

Mailing address

Not researched for this route

CoverMyMeds support line listed for retail and self-administered specialty pharmacy and Part D electronic PA.

View source ↗ · Source checked 2026-10-24

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

pharmacy help desk

Commercial self-administered specialty prescriptions — Advocate+ Prescriber

Official page read
Phone877-787-0520Fax

833-998-4435

Published hours

Not published in this record

Product, plan and location

commercial
Florida

Mailing address

Not researched for this route

Menu guidance in the source record

Option 2 for pharmacies; option 3 for prescriber

Menus can change. No live call verification is claimed.

For providers sending commercial Florida Blue patients' self-administered specialty prescriptions (Advocate+ Pharmacy Match). Self-insured plans may use a different specialty network.

View source ↗ · Source checked 2026-10-24

Report an update
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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