These pharmacies are contracted through our pharmacy benefit administrator spectral solutions click here to find the prior authorization and exception request form you can also call the member services department to learn more about how to name your appointed representative. A request must be submitted and approved in advance for medications requiring a prior authorization before the drugs may be covered by humana prescribers can submit their requests to humana clinical pharmacy review hcpr in the following ways electronic requests covermymedsr is a free service . Medication authorization form for prescription and non prescription medications vdss division of licensing programs model form instructions section a must be completed by the parent guardian for all medication authorizations section a and section b must be completed for any long term medication authorizations those lasting longer than 10 working days
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