Provider Documents

Essential forms for specialty medication management

Access the documents you need to help your patients get specialty medications promptly. Our streamlined authorization forms help reduce administrative burden while ensuring your patients receive the specialized treatments they need.

Provider Documents

Essential forms for specialty medication management

Access the documents you need to help your patients get specialty medications promptly. Our streamlined authorization forms help reduce administrative burden while ensuring your patients receive the specialized treatments they need.

Prior Authorization Forms

For your convenience, below are the most up-to-date Prior Authorization Forms. Locate the forms you need by either drug name or disease name. They are listed alphabetically. Completed Prior Authorization Forms may be faxed to (716) 532-7360.