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Prior Authorizations

Services Requiring Prior Authorization – California

Please confirm the member's plan and group before choosing from the list below.

Providers should refer to the member's Evidence of Coverage (EOC) or Certificate of Insurance (COI) to determine exclusions, limitations and benefit maximums that may apply to a particular procedure, medication, service, or supply.

Refer to the Pharmacy section of the website for information regarding prescription authorization requirements.

Prior Authorization Lists

Last Updated: 10/01/2021