Forms & publications

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General Information for Authorization

13-835

Use this form (13-835) to submit an initial authorization request.

Form

Pharmacy Information Authorization

13-835A

Use this form (13-835A) to submit a pharmacy authorization request.

Form

Submitting prior authorizations for medical and dental services

A webinar presentation to assist in successfully submitting authorizations for medical and dental services using form 13-835.

Publication