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Submit pharmacy prior authorization requests using new eForm
February 6, 2017

You can now electronically request medication authorization for commercial members

When a medication requires prior authorization, you can now submit the Massachusetts Standard Form for Medication Prior Authorization Requests electronically with our new eForm. Enter information about your request directly into the form, hit the “submit” button, and your request is sent right to us. The eForm replaces the PDF version of the form.

The form is now standard for Massachusetts health insurers to meet the requirements of Chapter 224. It was developed with the Mass Collaborative, a partnership of payers, providers, and trade associations. We expect additional all-payer medication authorization forms to be made available in the future, and will let you know.


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