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Electronic Prior Authorizations Submit a Prior Authorization request electronically. ePA is a fully electronic solution that processes PAs, formulary and quantity limit exceptions significantly faster!All Plans Phone: 866-814-5506 Fax: 866-249-6155 Non-Specialty Medications : MassHealth Phone: 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 . Exceptions. Overview .P: 866 -433-6041 F: 855 -865-9469 Advicare P: 866 814 5506 F: 866 249 6155 BlueChoice HealthPlan Medicaid P: 866 -902 1689 F: 800-823-5520 FFS Medicaid P:866 247 1181 F:888 -603 7696 First Choice P: 866 610 2773 F: 866 610 2775 Molina Healthcare P: 855-237-6178 F: 855-571-3011 WellCare Health Plan P: 888-588-9842 F: 866-354-8709All Plans Phone: 866-814-5506 Fax: 866-249-6155 . Non-Specialty Medications . MassHealth Phone: 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 . Exceptions. N/A …All Plans Phone: 866-814-5506 Fax: 866-249-6155 . Non-Specialty Medications . MassHealth Phone: 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 …Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 2 Revatio (sildenafil) Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered.Please respond below and fax this form to CVS Caremark toll-free at 1-866-249-6155. If you have questions regarding the prior authorization, please contact CVS Caremark at 1-866-814-5506. For inquiries or questions related to the patient’s eligibility, drug Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 2 of 3 7. Have chart notes or other documentation supporting the inadequate response, intolerable adverse reaction, or contraindication to at least three of the formulary medications, or all of the formulary alternatives if there are fewer than three?To check to the status of a submitted PA, call 808-254-4414 or 1-866-814-5506, Monday through Friday, 8 a.m.-5 p.m. Hawaii Standard Time. Specialty ...Phone: 1-866-814-5506 Fax: 1-855-330-1720 www.caremark.com Page 1 of 3. Reclast. Prior Authorization Request. Send completed form to: Case Review Unit CVS Caremark Specialty Programs Fax: 1-855-330-1720. CVS Caremark administers the prescription benefit plan for the patient identified. Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 3 Taltz Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered. Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 4. Hepatitis C Prior Authorization Request . CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered. For specialty drug prior authorization review, your doctorshould call CVS Caremark toll-free at 1-866-814-5506 before you go to the pharmacy. The prior authorization line is for your …Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 2 of 3 Complete the following section based on the patient's diagnosis, if applicable. Section A: Hematopoietic Syndrome of Acute Radiation Syndrome 8. Will the requested medication be used for the treatment of radiation-induced myelosuppression following aYou will continue to be covered by TeamCare for each week an employer reports a contribution on your behalf. For additional questions, contact TeamCare through your Message Center, or by calling us at 1-800-TEAMCARE (1-800-832-6227). TeamCare is proud to offer our members the most comprehensive healthcare benefits possible, thanks …Most frequently searched (866) phone numbers in the past 24 hours. Did you get a call or text from 866-814-5506? View owner's full name, address, public records, and background check for +18668145506 with Whitepages reverse phone lookup.1 Jul 2022 ... (866) 814-5506 or online at e- prescribe. Claim Submission: Aetna. PO Box 981106. El Paso, TX 79998-1106. For Electronic Claims. Submission ...41 searches. (866) 960-1091. (866) 951-9700. Did you get a call or text from 866-814-5506? View owner's full name, address, public records, and background check for +18668145506 with Whitepages reverse phone lookup. Please respond below and fax this form to CVS Caremark toll-free at 1-866-249-6155. If you have questions regarding the prior authorization, please contact CVS Caremark at 1-866-814-5506. For inquiries or questions related to the patient’s eligibility, drugYou will continue to be covered by TeamCare for each week an employer reports a contribution on your behalf. For additional questions, contact TeamCare through your Message Center, or by calling us at 1-800-TEAMCARE (1-800-832-6227). TeamCare is proud to offer our members the most comprehensive healthcare benefits possible, thanks …1-866-814-5506 . or go to our . Forms for Health Care Professionals . page and scroll down to the Specialty Pharmacy Precertification (Commercial) drop-down menu. If the specific form you need is not there, scroll to the end of the list and use the generic Specialty Medication Precertification request form. Once you fill out the relevant form ...All Plans Phone: 866 -814-5506 Fax: 866-249-61558555601406 - who calls me from 855-560-1406? Report a phone call from 855-560-1406 and help to identify who and why is calling from this number.Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 3 Sandostatin, Bynfezia, Mycapssa (octreotide) Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization forAll Plans Phone: 866-814-5506 Fax: 866-249-6155 . Non-Specialty Medications . MassHealth Phone: 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 . Exceptions. …Phone: 866-814-5506. Fax: 866-249-6155 Non-Specialty Drug Requests . Commercial Plans. Phone: 800-294-5979. Fax: 888-836-0730 . Health Connector Plans. Phone: 855 …If you have questions regarding the prior authorization, please contact CVS Caremark at 1-866-814-5506. For inquiries or questions related to the patient’s eligibility, drug copay or …PHONE 866-814-5506 . FAX 866-249-6155 . AllWays Health Partners—Provider Manual Appendix A Contact Information . www.allwaysprovider.org 2019-01 01 . Author: Starting January 1, 2017, Walgreens will manage all Prime Therapeutics medications in more than 8,000 pharmacy locations.1-866-814-5506 . or go to our . Forms for Health Care Professionals . page and scroll down to the Specialty Pharmacy Precertification (Commercial) drop-down menu. If the specific form you need is not there, scroll to the end of the list and use the generic Specialty Medication Precertification request form. Once you fill out the relevant form ...Phone:1-866-814-5506 Fax:1-866-249-6155 www.caremark.com Page2of4 SectionA:PreferredProduct-ForPlaquePsoriasis 7 ...Electronic Prior Authorizations Submit a Prior Authorization request electronically. ePA is a fully electronic solution that processes PAs, formulary and quantity limit exceptions significantly faster! All Plans Phone: 866-814-5506 Fax: 866-249-6155 . ... 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 . Exceptions. Overview .Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 2 Xenazine (tetrabenazine) Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered.Health Plan Phone: 866-814-5506. Health Plan Fax: 866-249-6155. B. Patient Information. Patient Name: DOB: Gender: D Male D Female D Other: Member ID #:. C ...7. OTHER SERVICES (SEE INSTRUCTIONS) Type of Service: Name of Therapy/Agency: 69O-161.011 OIR-B2-2180 New 12/16 CVS Caremark Specialty Prior Authorization 800 Biermann Court Mount Prospect, IL 60056 Phone 1-866-814-5506 Fax 1-866-249-6155 75-42254A 053122 Call the Pharmacy Precertification Unit: Non-Specialty 1-800-294-5979 (TTY: 711) or Specialty 1-866-814-5506 (TTY: 711). Fax the completed request form to: Non-Specialty 1-888-836-0730 or Specialty 1-866-249-6155. Mail the completed request form to: Medical Exception to Pharmacy Prior Authorization Unit 1300 East Campbell Road Richardson, TX 75081 To check to the status of a submitted PA, call 808-254-4414 or 1-866-814-5506, Monday through Friday, 8 a.m.-5 p.m. Hawaii Standard Time. Specialty ...MemberName:{{MEMFIRST}}{{MEMLAST}}DOB:{{MEMBERDOB}}PANumber:{{PANUMBER}} Sendcompletedformto:CaseReviewUnitCVSCaremarkPriorAuthorizationFax:1-866-249-6155Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of NUMPAGES 3 Otezla Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered. Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 3 Olumiant Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered.All Plans Phone: 866-814-5506 Fax: 866-249-6155 Non-Specialty Medications MassHealth Phone: 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 Exceptions N/A OverviewAll Plans Phone: 866-814-5506 Fax: 866-249-6155 ... 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 Exceptions N/A Overview These criteria were developed to meet state-specific regulatory …Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 4 Nplate, Promacta Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered. Phone: 866-814-5506 Fax: 866-249-6155 . Non-Specialty Drug Requests. Commercial Plans Phone: 800-294-5979 Fax: 888-836-0730 . Health Connector Plans Phone: 855-582-2022 Fax: 855-245-2134 . My Care Family Phone: 877-433-7643 Fax: 866-255-7569. Sleep management: CareCentrix Provider Service: 866-827-5861.Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 3 Palynziq Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered.1-866-814-5506. For inquiries or questions related to the patient’s eligibility, drug copay or medication delivery; please contact the Specialty Customer Care Team: CaremarkConnect Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 4. Hepatitis C Prior Authorization Request . CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered.1-866­ 814-5506 (TTY: 711). Or fax your completed . prior authorization request form . to . 1-866-249-6155. These changes will affect all drug lists ... For Prior Authorizations: Specialty 866-814-5506 / Non-Specialty 800-294-5979 Submit Claims: Caremark Claims Dept. P.O. Box 52136 Phoenix, AZ 85072-2136 Caremark.com. Behavioral Health and Chemical Dependency Claims: HMC Health Works Providers Call: 855-487-8914 Submit Claims: P.O. Box 981605, El Paso, TX 7999-1605 EDI Partner: Emdeon EDI Payer ...Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 5 Growth Hormone Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered.All Plans Phone: 866-814-5506 Fax: 866-249-6155 . ... 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 . Exceptions. PedmarkSuccess! we found 1 record: (866) 814-5506 is a number. It is located in USA. (866) 814-5506 is a is run by. Owner's Full Name: CVS SPECIALTY G. Telephone Company: Additional detail on 8668145506. Area Code. 866.• Phone 866-814-5506 • Fax 866-249-6155 Preventive Dental Care Delta Dental 800-872-0500 Pediatric Dental Delta Dental 855-264-7898 Sleep Study Authorizations CareCentrix 866-827-5861 Pediatric Vision EyeMed 844-201-3993 Paper Claims In-network HMO medical claims: Payer ID: 04293 Paper Claims: PO Box 853908, Richardson, TX 75085-3908Prescribers may call 1-866-814-5506 to enroll patients in Specialty plan design. 6 . PLAN DESIGN The document represents a closed formulary plan design. The medications listed on the document are covered by the plan as represented. Certain medications on the list are covered if utilization management criteria are met (i.e., StepApr 1, 2022 · For requests for drugs on the Aetna Specialty Drug List, call at 1-866-814-5506 (TTY: 711) or fax your completed prior authorization request form (PDF) to 1-866-249-6155. For more information, call the Provider Help Line at 1-800-AETNA RX (1-800-238-6279) (TTY: 711). 866-814-5506. Non-specialty medications, 888-836-0730, 800-294-5979. Exchange plans. Specialty medications, 866-249-6155, 866-814-5506. Non-specialty ...Alimta® (For Maryland Only) Alphanate®, Humate-P®, Koate-DVI®, Wilate®. Alphanate®, Humate-P®, Koate-DVI®, Wilate® (For Maryland Only) Alsuma®. Altoprev®. Altoprev® (For Maryland Only) Alvesco®. Alvesco® (For Maryland Only) Amerge®, Imitrex®, Maxalt®, Zomig® Post Limit.Prior Authorization Form for Medical Procedures, Courses of Treatment, or Prescription Drug Benefits. If you have questions about our prior authorization requirements, please refer to CVS Caremark at 1-866-814-5506. All of the applicable information and documentation is required.Most frequently searched (866) phone numbers in the past 24 hours. Did you get a call or text from 866-814-5506? View owner's full name, address, public records, and background check for +18668145506 with Whitepages reverse phone lookup.Please respond below and fax this form to CVS Caremark toll-free at 1-866-249-6155. If you have questions regarding the prior authorization, please contact CVS Caremark at 1-866-814-5506. For inquiries or questions related to the patient’s eligibility, drugSpecialty Medication PA Request Phone: (866) 814-5506. Nonspecialty Medication PA Request Phone: (877) 433-7643 (Medicaid), (855) 582-2022 (Exchange),. (800) ...Specialty 1-866-814-5506. • Fax the completed request form to: Non-Specialty 1-888-836-0730 or. Specialty 1-866-249-6155. • Mail the completed request form ...Phone number for specialty Prior Authorization: 866-814-5506 . Fax number for non-specialty Prior Authorization: 866-255-7569 . Fax number for non-specialty Prior Authorization: 866-249-6155 . Confidentiality Notice: The documents accompanying this transmission contain confidential health information that is legally privileged.Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 2 of 3 10. To which topical therapies, if any, has the patient had an inadequate treatment response in the past 180 days? ACTION REQUIRED: If Yes, please attach supporting chart note(s) or medical record showing drug name, dosage form and strength. All Plans Phone: 866 -814-5506 Fax: 866 -249-6155 : Non-Specialty Medications : MassHealth Phone: 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 : Medical Specialty Medications (NLX) All Plans Phone: 844 -345-2803 Fax: 844 -851 …Phone: 1-808-254-4414 Fax: 1-866-237-5512 www.caremark.com Page 1 of 3 Hyaluronate Products HMSA - Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered. To make an appropriate …All Plans Phone: 866-814-5506 Fax: 866-249-6155 . ... 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 . Exceptions. N/A . Overview . Esketamine (S-enantiomer of racemic …If you have questions regarding the prior authorization, please contact CVS Caremark at 1-866-814-5506. For inquiries or questions related to the patient’s eligibility, drug copay or …All Plans Phone: 866-814-5506 Fax: 866-249-6155 Non-Specialty Medications : MassHealth Phone: 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 . Exceptions. N/A . Overview . …• For requests for drugs on the Aetna Specialty Drug List, call 1-866-814-5506 or fax your completed prior authorization request form (PDF) to 1-866-249-6155. For more …Phone: 1-866-814-5506 Fax: 1-855-330-1720 www.caremark.com Page 1 of 3. Reclast. Prior Authorization Request. Send completed form to: Case Review Unit CVS Caremark Specialty Programs Fax: 1-855-330-1720. CVS Caremark administers the prescription benefit plan for the patient identified.All Plans Phone: 866-814-5506 Fax: 866-249-6155 Non-Specialty Medications : MassHealth Phone: 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 . Exceptions. N/A . Overview . …All Plans Phone: 866-814-5506 Fax: 866-249-6155 . Non-Specialty Medications . MassHealth Phone: 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 …Specialty® at 1-866-814-5506 to request prior authorization. The prior authorization line is for your doctor’s use only. The step therapy program encourages utilization of clinically appropriate and lowest net cost medications within the following therapeutic categories. Drug Classat 866-814-5506. I received a notification from CVS/Caremark that my previous drug is not covered. What should I do? Like with the Express Scripts plan, certain medications may be subject to prior authorization, medical necessity, or step therapy. These programs require a progression of alternative therapies to be tried before certain medications may be approved.Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 4. Hepatitis C Prior Authorization Request . CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered.Phone: 1-866-814-5506 Fax: 1-855-330-1720 www.caremark.com Page 1 of 3. Reclast. Prior Authorization Request. Send completed form to: Case Review Unit CVS Caremark Specialty Programs Fax: 1-855-330-1720. CVS Caremark administers the prescription benefit plan for the patient identified. Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 2 Emflaza Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered.at 866-814-5506. I received a notification from CVS/Caremark that my previous drug is not covered. What should I do? Like with the Express Scripts plan, certain medications may be subject to prior authorization, medical necessity, or step therapy. These programs require a progression of alternative therapies to be tried before certain medications may be approved.PeepLookup is world's best reverse phone lookup that is free. To use PeepLookup, simply enter the phone number in the dialpad below and click on lookup. We will then provide you with the full name of the person who owns the phone number. PeepLookup works on both cell phones and landline phones. It is the best reverse phone lookup free.Specialty drugs are used to treat chronic complex conditions and require special handling and close monitoring and must be obtained from CVS Specialty Pharmacy. Note: Preauthorization is required. Call CVS …PA phone number: 866-814-5506. Page 15. 15. Non-specialty appeals: Prescription Claim Appeals MC 109. CVS Caremark. P.O. Box 52084. Phoenix, AZ 85072. Fax 866- ...All Plans Phone: 866-814-5506 Fax: 866-249-6155 . ... 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 . Exceptions. N/A . Overview . Esketamine (S-enantiomer of racemic …Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of NUMPAGES 3 Otezla Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered.Prior Authorization Form for Medical Procedures, Courses of Treatment, or Prescription Drug Benefits. If you have questions about our prior authorization requirements, please …Manage your Rx and get help when you need it. Whether you’d like to refill your Rx online or need one-on-one support, we’re here to help making living with your condition a little easier. Plus, you have options – like choosing contactless delivery to your door or pickup at your local CVS Pharmacy. View transcript. Getting to Know CVS ...All Plans Phone: 866-814-5506 Fax: 866-249-6155 : Non-Specialty Medications : MassHealth Phone: 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 : Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 :Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 2. Epogen, Procrit, Retacrit. Prior Authorization Request. Send completed form to: Case Review Unit CVS Caremark Prior Authorization Fax: 1-866-249-6155. CVS Caremark administers the prescription benefit plan for the patient identified.8555601406 - who calls me from 855-560-1406? Report a phone call from 855-560-1406 and help to identify who and why is calling from this number.Specialty® at 1-866-814-5506 to request prior authorization. The prior authorization line is for your doctor’s use only. The step therapy program encourages utilization of clinically appropriate and lowest net cost medications within the following therapeutic categories. Drug ClassAll Plans Phone: 866-814-5506 Fax: 866-249-6155 . ... 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 . Exceptions. N/A . Overview . Bylvay (odevixibat) is indicated for the treatment of pruritis …All Plans Phone: 866-814-5506 Fax: 866-249-6155 . ... 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 . Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 . Exceptions. N/A . Overview . Fedratinib is a kinase inhibitor with activity against both wild …Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 4. Hepatitis C Prior Authorization Request . CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered. . Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.carePhone: 1-866-814-5506 Fax: 1-866-249-6155 www Phone: 1-866-814-5506 Fax: 1-866-249-6155 www.caremark.com Page 1 of 4 Nplate, Promacta Prior Authorization Request CVS Caremark administers the prescription benefit plan for the patient identified. This patient’s benefit plan requires prior authorization for certain medications in order for the drug to be covered. PPO outpatient services do not require Pre-Service Review. Effective February 1, 2019, CareFirst will require ordering physicians to request prior authorization for molecular genetic tests. Please refer to the criteria listed below for genetic testing. Contact 866-773-2884 for authorization regarding treatment. Phone: 1-866-814-5506 Fax: 1-866-249-6155 www All Plans Phone: 866-814-5506 Fax: 866-249-6155 : Non-Specialty Medications : MassHealth Phone: 877-433-7643 Fax: 866-255-7569 Commercial Phone: 800-294-5979 Fax: 888-836-0730 Exchange Phone: 855-582-2022 Fax: 855-245-2134 : Medical Specialty Medications (NLX) All Plans Phone: 844-345-2803 Fax: 844-851-0882 : Exceptions: N/A … at 866-814-5506. I received a notification from CVS/Caremark t...

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