If you are displaced or affected by wildfire, all Washington Apple Health and PEBB/SEBB medical plans are allowing prescription refills before the refill date.
Due to COVID-19, HCA’s lobby is closed. Learn more about your customer service options.
Unintentional overdose deaths are associated with methadone and other opioids. The Pharmacy and Therapeutics Committee (P&T) has asked the Health Care Authority (HCA) to distribute a special health advisory to pharmacists and prescribers.
Note: For information on billing and rates, expedited authorization (EA) codes, and the state maximum allowable cost list (SMAC), please visit the Prescription Drug Program on our provider billing guide and rates page.
- Agency Medical Director’s Group (AMDG) opioid prescribing guidelines/dose calculator
- Apple Health (Medicaid) Drug Coverage Criteria
- Request a pharmacy prior authorization
- Emergency fill policy
- NCPDP D.O. payer specification sheet
- Participating drug rebate manufacturers
To request a change in fee-for-service (FFS) reimbursement
Download the Pharmacy Information Authorization form (13-835A). Fax the request to: 866-668-1214.