Most Medicare Part D plans will have Prior Authorization forms online that you can download, print, and take with you to your doctor (or other prescriber) so that they can offer assistance completing the form.
For example, the insurance carrier and Medicare Part D plan provider Humana has an online Prior Authorization portal that can be found at: https://humana.promptpa.com/
You can also telephone your Medicare Part D prescription drug plan's
Member Services department and ask them to mail you a Prior
Authorization form. The toll-free telephone number for your plan's Member
Services department is found on your Member ID card and most of your
plan's printed information.
If you cannot find the telephone number, we have the
telephone number for most Member Services departments online, just click on the plan’s
name when using our
Medicare Advantage Plan Finder or MA-Finder (enter your ZIP to begin) or our stand-alone
Medicare Part D Plan Finder or PDP-Finder (choose your state to begin).
As a review, "Prior Authorization" is a form of utilization management (also known as drug restrictions or drug usage management restrictions) that your Medicare Part D plan may use in the plan's formulary to keep plan costs down and protect their plan members.
Utilization management restrictions can include such prescription controls as:
Quantity Limits (for example, only allowing plan members 30 tablets per 30 days) or
Prior Authorization (requiring members to get plan approval before filling a prescription) or
Step Therapy (having members try lower-costing medications before using a more expensive drug).
Reminder: Both our
Formulary Browser (showing all drugs for a single Medicare plan) and our
Q1Rx® Drug Finder (Q1Rx.com - showing all Medicare plans covering a single drug) display the details of the drug utilization management requirements along with the drug cost-sharing information for all Medicare Part D plans and Medicare Advantage plans.