Prior Authorization

Certain medications require a prior authorization to ensure that they are medically necessary and part of a specific treatment plan. Below are the prior authorization program guidelines:

The prescribing physician should notify ProCare Rx in advance about the medical condition that requires the use of drugs that appear on the prior authorization list; obtaining the authorization in advance will prevent delays at the pharmacy. ProCare Rx's staff is available at 1-800-662-0586 (8:00 AM - 8:00 PM, Monday through Friday, and 9:00 AM - 1:00 PM ET Saturday) to provide immediate authorization. Once the drug is authorized, it can be filled at any participating pharmacy.

Physicians may fax prior authorization requests to 1-800-662-0590.

All Prior Authorizations have been approved by the ProCare Rx Pharmacy & Therapeutics Committee.

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