For a faster response, log into Covermymeds.com and use electronic Prior Authorization (ePA). (This excludes New Jersey.)

Medicaid and Medicare Part B

Click the Health Plan location to download the required Prior Authorization Request Form.

Florida Psychotropic Medication Guidelines for Children Younger than 13

Medicare Part D Rx coverage determinations

Providers can send a request for a prescription coverage determination for a Medicare plan via electronic prior authorization (ePA) rather than fax or phone by submitting the request from one of the following ePA websites:

CoverMyMeds: www.covermymeds.com

SureScripts: providerportal.surescripts.net/ProviderPortal/login