Biopharmacy Prior Authorization

Date: 11/16/23

When submitting a request by fax for a biopharmacy prior authorization (a drug that is administered by a healthcare professional, such as a clinic or a medical office), please enter the code “422” in the service type number. This will ensure that your request is addressed in a timely manner.

This process may change in the coming months, but at this time, adding this code designation will allow us to help you and our members.

For questions or concerns, contact your Provider Relations Specialist or call Provider Services at 1-833-404-1061.