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Requesting an exception to the drug list. Forms for submitting prior authorization requests. Fillable forms work best when using the adobe acrobat reader dc application. If you take a medicine that isn’t on the drug list, you can request to have the medicine covered by your insurance. The following forms are downloadable in pdf format. Fax all completed ifp prior. Visit get.adobe.com/reader for more information.
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Requesting an exception to the drug list. Fillable forms work best when using the adobe acrobat reader dc application. If you take a medicine that isn’t on the drug list, you can request to have the medicine covered by your insurance. Fax all completed ifp prior. Visit get.adobe.com/reader for more information.
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Visit get.adobe.com/reader for more information. Fillable forms work best when using the adobe acrobat reader dc application. Fax all completed ifp prior. Requesting an exception to the drug list. The following forms are downloadable in pdf format.
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If you take a medicine that isn’t on the drug list, you can request to have the medicine covered by your insurance.