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OptumRx Prior Authorization

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Optum Care Prior Authorization Form

WebIf the patient is not able to meet the above standard prior authorization requirements, please call 1-800 -711 -4555. For urgent or expedited requests please call 1-800 -711 -4555. This form may be used for non-urgent requests and faxed to 1-844 -403 -1028 . WebThis form may be used for non-urgent requests and faxed to 1-844-403-1029. OptumRx has partnered with CoverMyMeds to receive prior authorization requests saving you time and often delivering real-time determinations. WebProvider named above is required to safeguard PHI by applicable law. The information in this document is for the sole use of OptumRx. Proper consent to disclose PHI between these … how fast is santa flying