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Visit the Optum Rx website for MPSERS retirees. The form has been made fillable online but can also be printed out and filled in by hand if preferred. This form may be used for non-urgent requests and faxed to 1-800-527-0531.
OptumRx has partnered with CoverMyMeds to receive prior authorization requests. The document has moved here. Step 1 Begin by downloading the form in Adobe PDF and opening it up in the PDF reader of your choice.
If a member has Prior Authorization History that exists within the claim processing system that information is available to. All information below is required to process this request Mon-Fri. Catamaran Prior Authorization Form.
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