should I contact for copies of the HealthPlus drug formulary, formulary quick
check documents and other Pharmacy information?
A: Please contact the HealthPlus Pharmacy
Department at (810) 230-2118 or at firstname.lastname@example.org.
can I get updated copies of the Pharmacy Prior
Authorization Criteria and Prior
Authorization request form?
A: View the online HealthPlus Pharmacy Prior Authorization Form or contact the
HealthPlus Pharmacy Department at (810) 230-2118 or by email at email@example.com .
do I appeal a determination made related to a medication I prescribed?
A: Contact the HealthPlus Customer Service Department
at (800) 332-9161, to initiate the appeal process.
Q: Do I need a
prior authorization number?
A: No. If a medication is authorized, HealthPlus
will place a patient- and drug-specific override into the claims processing
system so that the claim will pay.
long does a prior authorization remain in place?
A: For most medications, the authorization is
I have not obtained prior authorization yet, will my patient receive their
medication at the pharmacy if it is after normal business hours?
A: Yes. For any medication that requires prior
authorization, the pharmacy may provide a one-time starter dose for up to a
seven day supply. The HealthPlus Pharmacy Department will follow up with the
physician’s office to initiate the prior authorization process.
The starter dose may not apply to benefits with a closed
can I get a personalized pharmacy review?
A: Please contact the HealthPlus Pharmacy Department
at (810) 230-2118 to request a personalized review and evaluation of opportunities
to improve your prescribing method. This review may include a one-on-one
discussion with a HealthPlus pharmacist.