pharmacy prior auth
Prior authorization (fax) and PA specialist line
Confirm the exact product or service
National contact — confirm product and location
Not researched for this route
The current pharmacy page and linked pharmacy manual page 10 explicitly pair this PA telephone and fax. The currently linked physician form page 2 confirms fax 888-473-7875 and allows CoverMyMeds submission. Form footer is copyright 2023 / mem-0008g_010721_1; current linkage does not make it a newly issued form. No PA telephone hours are stated.
View source ↗ · Source checked 2026-10-22 · welldyne manual ↗ · welldyne pa form ↗
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