Kaiser Permanente

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

Washington - Pharmacy Drug Benefit Help Desk (PA / formulary exceptions)

Official page read
Phone800-729-1174Fax

866-439-0050

Published email

rxbene1@kp.org

Published hours

M-F 8am-6pm

Product, plan and location

commercial · medicare advantage · medicaid · exchange
Washington

Mailing address

Not researched for this route

Menu guidance in the source record

option 1

Menus can change. No live call verification is claimed.

View source ↗ · Source checked 2026-10-21

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

pharmacy prior auth

Colorado/Georgia - Medicare Part D coverage determinations (OptumRx)

Official page read
Phone888-791-7255Fax

844-403-1028

Published hours

8am-8pm, 7 days

Product, plan and location

medicare advantage
Colorado · Georgia

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

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

pharmacy help desk

Colorado - KP mail order pharmacy (prescriber line)

Official page read
Phone866-523-6059Fax

866-551-9628

Published hours

M-F 8am-6pm

Product, plan and location

commercial · medicare advantage · medicaid · exchange
Colorado

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

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

pharmacy prior auth

Georgia - Quality Resource Management (criteria-restricted drug PA, non-Part D)

Official page read
Phone404-364-7320Fax

866-452-4585

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · medicaid · exchange
Georgia

Mailing address

Not researched for this route

Menu guidance in the source record

Option 3

Menus can change. No live call verification is claimed.

View source ↗ · Source checked 2026-10-21

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

pharmacy prior auth

Georgia - MedImpact coverage determinations (Dual Choice Rx plans)

Official page read
Phone844-336-2676Fax

858-790-7100

Published hours

Not published in this record

Product, plan and location

commercial
Georgia

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

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

pharmacy help desk

Hawaii - Pharmacy Administration (formulary access)

Official page read
Phone808-432-5549Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · medicaid · exchange
Hawaii

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

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

pharmacy prior auth

Mid-Atlantic - Pharmacy Formulary Management (step therapy / non-formulary MRF)

Official page read
Phone866-331-2103Fax

866-331-2104

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · medicaid · exchange
Maryland · District of Columbia · Virginia

Mailing address

Not researched for this route

View source ↗ · Source checked 2026-10-21

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

pharmacy help desk

Northwest - Pharmacy Services (formulary / pharmaceutical management)

Official page read
Phone888-572-7231Fax

503-261-7978

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage · medicaid · exchange
Oregon · Washington

Mailing address

Not researched for this route

Local 503-261-7900.

View source ↗ · Source checked 2026-10-21

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

Help the next office

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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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