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Prior Authorizations

Request prior authorization for a medication.

If you believe that it is medically necessary for a member to take a medication excluded by our pharmacy program, and you have followed the procedures required by our pharmacy programs, take the following steps to request authorization:

  • Select the member's plan below
  • Locate the preferred drug and send its prior authorization form to us

MassHealth

Submit a pharmacy prior authorization request for a MassHealth member.

ConnectorCare / Qualified Health Plans

Submit a pharmacy prior authorization request for a QHP member.

Senior Care Options

Submit a pharmacy prior authorization request for a Senior Care Options member.

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