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Some drugs require prior authorization. This means that members must receive approval from Health Net before the drug will be covered. The prior authorization process ensures members receive the correct drug combined with the best value for their medical condition.
To request prior authorization, the prescriber must complete and fax a Prior Authorization form to:
Commercial Members: 1-800-314-6223
Medi-Cal Members: 1-800-977-8226
Once we receive the prior authorization request, it will be reviewed to determine if it meets our approval criteria. In this determination, we explain whether the request is approved or denied. If a request is denied, members have the right to appeal our decision.
To provide you with the most accurate plans and information in your area, we need to know your location. Please enter a ZIP code for Arizona, California, Oregon, Washington.
To provide you with the most accurate plans and information in your area, we need to know your location. Please enter a ZIP code for Arizona, California, Oregon, or Washington.