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Pharmacy and drug authorizations

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

Organizations

111 organizations

Search departments by phone, fax or email → · Search individual lab, pharmacy and health-center locations →

Humana

Health plans and insurers · 4 organization contact routes

pharmacy prior auth · pharmacy help desk

View contacts

OptumRx

Pharmacy benefit managers · 7 organization contact routes

pharmacy prior auth · pharmacy help desk

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WellDyne

Pharmacy benefit managers · 2 organization contact routes

pharmacy prior auth · pharmacy help desk

View contacts

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.

For healthcare offices

Found the contact. Still need to make the call?

Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.

For the people making the calls

Put payer follow-up
on your office’s worklist.

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

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

See how it could work for your practice