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Professionally administered drugs prior authorization

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Prior authorization for professionally administered drugs 

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Prior authorization resources

Providers should review the Louisiana Medicaid Prior Authorization List online at Humana.com/PAL. The Louisiana Medicaid Prior Authorization List describes services and medications that are commonly reviewed and may require additional clinical information. Medications include those delivered in the physician’s office, clinic, and outpatient or home setting.

Pharmacy prior authorization

The process by which medication is supplied by a pharmacy and billed through the pharmacy benefit includes medication prior authorization (PA), quantity limits, and medication exceptions.

Prior authorizations are obtained through Magellan Medicaid Administration Pharmacy Benefits Manager. Prior authorizations can be requested by phone, fax, mail, or electronic submission:

Phone submissions: 1-800-424-1664

Faxed submissions: 1-800-424-7402

Electronic submissions: CoverMyMeds

Providers can find pharmacy prior authorization fax forms from LDH or by calling 1-800-424-1664, 24 hours a day, 7 days a week.

Physician-administered drug prior authorization

Visit Humana.com/MedPAL for details on how to submit a prior authorization request for physician-administered drugs.

Get more information about prior authorization

Learn more about prior authorization in the Humana Healthy Horizons in Louisiana Provider Manual.

Services and physician-administered drugs that require prior authorization

Louisiana Medicaid

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