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Empire accepts prior authorization requests for prescription medications onlineAug 1, 2018 • Products & Programs / Pharmacy Empire accepts electronic medication prior authorization requests for commercial health plans. This feature reduces processing time and helps determine coverage quicker. Some prescriptions are even approved in real time so that your patients can fill a prescription without delay. Electronic prior authorization (ePA) offers many benefits:
Providers can submit ePA requests by logging in at covermymeds.com. Creating an account is FREE. While ePA helps streamline the prior authorization process, providers can also initiate a new prior authorization request by fax or phone. Please note, the contact numbers for all Medicare plans will change effective September 1, 2018.
Featured In: Empire BlueCross BlueShield HealthPlus (Empire) will administer pharmacy benefits for enrolled members. IngenioRX* is the pharmacy benefits manager. Please refer to the Preferred Drug List (formulary) from Empire when prescribing for our members. This guide does not contain a complete list of drugs; rather, it lists
the preferred drugs within the most commonly prescribed therapeutic categories. Though most medications on the PDL are covered without prior authorization, a few agents will require you to contact our Pharmacy department for authorization. Medications not listed in the formulary are considered to be non-formulary and are subject to prior authorization.
Searchable formulary: Medicaid Searchable formulary: Essential Plan Searchable formulary: Child Health Plus (CHPlus) Health and Recovery Plan (HARP) PDL Prior authorization requestsSome drugs, drug combinations and drug doses require prior authorization (PA). To submit electronic prior authorization (ePA) requests online, use Availity*. Prior authorization phone and fax numbersWhile online submissions helps streamline the PA process, you may also initiate a new PA request by calling or faxing a completed Pharmacy Prior Authorization form to Empire. Please note, the following contact numbers for prior authorization requests and PA form information below. Prior authorization phoneHours: Monday to Friday 8:00 a.m. to 7:00 p.m.; Saturday 10:00 a.m. to 2:00 p.m. Phone: 1-800-450-8753 Prior authorization for retail pharmacyFax: 1-844-490-4877 Prior authorization for medical injectablesFax: 1-844-493-9206 Prior Authorization forms for pharmacy services can be found on the Forms page. Related resources* IngenioRX is an independent company providing pharmacy support services on behalf of Empire BlueCross BlueShield HealthPlus. Provider tools & resources
Interested in becoming a provider in the Empire network?We look forward to working with you to provide quality services to our members. Ready to become a provider in the Empire network? We look forward to working with you to provide quality service for our members. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. Begin Application |
Empire blue cross blue shield prior authorization form for medication
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