Medications Added to Prior Authorization List

July 28, 2015 -

A new prior authorization requirement is now in place for certain medications administered in outpatient hospital and home or office settings. Failure to obtain prior authorization for these medications may result in the denial of the claim payment.

Visit www.carefirst.com/preauth for the most current list of all medications that require prior authorization.

How to Request Prior Authorization

Requests for prior authorization for these medications can be submitted online. Log in to the Provider Portal at www.carefirst.com/providerlogin and click the Pre-Auth / Notifications tab to begin your request.

Learn More

For details about how to submit and review your prior authorization requests online, view the training video available at www.carefirst.com/learninglibrary> Pharmacy. View the user guide for detailed step-by-step instructions.

You can also register for an upcoming Medication Management Prior Authorization Requirements webinar at www.carefirst.com/cpet.

Questions?

View our list of Frequently Asked Questions (FAQs). If you have additional questions, contact your Provider Relations Representative. Contact information can be found at www.carefirst.com/providerrep.

Updated on August 12, 2015 to include information on the webinar available at www.carefirst.com/cpet.