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Quality and Cost
Effective Care

Providers

For prior authorization requests, simply complete our short PA form and fax it back to us. Our team is able to review and respond to most prior authorization requests within 72 hours.

Prior Authorization Guide for Prescribers

Click here to check status of a medication undergoing Prior Authorization (PA) review.

Appeals Process For Un-Approved Prior Authorization Requests

If you wish to appeal a denial of coverage based on prior authorization review, simply fax an appeal to US-Rx Care.

Is your Prior Authorization request denied? Fax your appeal to 954-302-8425

Note: Appeals must be submitted in writing and cannot be processed via phone.

As part of your appeal, please provide the reason(s) you believe that the medication requested should not have been denied. Include a summary of the pertinent facts relating to your appeal, and include any copies of new documents, records, or other material that you believe are necessary for the review of your claim.

Please reference the denial notice received from US-Rx Care for pertinent requirements for approval or approved alternatives for consideration before submitting an appeal. For medications not covered under the patient’s health plan, appeal requests cannot change the coverage status.