Confirm the exact product or service Wisconsin · Minnesota · Iowa · Illinois
Mailing address
Not researched for this route
Pharmacy department fax for clinic-administered medication PA requests. Source: Quartz Provider Manual (September 2026), which covers Quartz Medicare Advantage, BadgerCare Plus, Medicaid SSI and Quartz commercial plans (Dean Health Plan is now part of Quartz).
medicare part d · medicare advantage Wisconsin · Minnesota · Iowa · Illinois
Mailing address
Not researched for this route
Part D medication prior authorization / coverage determination requests by phone or fax; ePA via Benefitrx.com. Source: Quartz Provider Manual (September 2026), which covers Quartz Medicare Advantage, BadgerCare Plus, Medicaid SSI and Quartz commercial plans (Dean Health Plan is now part of Quartz).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
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Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.
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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?
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