This article is for all providers (except dentists) caring for our members
Effective Monday, May 3, 2021, you may use Authorization Manager to submit authorization requests for medications that you buy and bill us for, and that are administered in the office using the member’s medical benefits.
Entering an authorization request for medications works the same way as it does for medical requests, however, make sure you select the correct values for the following fields:
| Field name | Use this value |
|---|---|
| Request type | Medication |
| Place of service | 11-Office or 22-On Campus-Outpatient Hospital |
| Review type |
|
| CPT/HCPCS# | Appropriate “J” code to designate the medication you’re requesting |
If you’re not registered as a Provider Central user
To use Authorization Manager, you must be a registered Provider Central user. Learn how to register for Provider Central or add users to your existing Provider Central account.
Resources
Authorization Manager (log in and go to eTools>Authorization Manager)
Authorization Manager Tips for Medications
Questions?
If you have any questions, please call Pharmacy Operations at 1-800-366-7778. As always, thank you for the care you provide to your patients—our members.
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