Pharmacy Prior Authorization
Non-preferred Drugs:
Requests for drugs that are non-preferred on the
Washington Preferred Drug List should be directed to
the DSHS Pharmacy Authorization Line at 800.848.2842, option #2, Hours M-F,
8:00am-4:45pm; or
can be faxed to
360.725.2141. The form [DSHS #
13-798] to request an authorization for a
Non-preferred Drug may be accessed via the DSHS
forms web site at:
http://www.dshs.wa.gov/msa/forms/eforms.html.
Alternatives list (Effective July 1, 2009)
Prior Authorization.
Requests for prior authorization can be received and
processed via phone or fax. We have 3 phone options
and 2 fax numbers. Our options changed on October
20, 2008. Click
here
for the "who do I contact" sheet.
For phone requests or emergencies, contact the
DSHS Pharmacy Authorization Line at 800.848.2842,
√
Select option 1
if you
are not a pharmacy, if you have eligibility
questions, history checks for lost or stolen
medications, multiple fills in a calendar month, and
refill too soon questions.
Hours M-F, 8:00am-4:45pm.
√ Select option 2 to
reach the Pharmacy Authorization section. This
option is for pharmacies calling for prior
authorization on a medication. This includes PDL
drugs and DAW requests.
√ Select option 3
to reach the Rates
section. This option is for
pharmacies calling for reimbursement at less than
cost not related to brand name dispense as written.
Pharmacy Rates hours are 9:00am-4:45pm, M-F, (closed
from 12:00-1:00pm daily).
OR
Fax your request to: Two authorization forms are available
as of 10/20/08. The forms may be accessed via the
DSHS forms web site at:
http://www.dshs.wa.gov/msa/forms/eforms.html.
Limits. The Health & Recovery Services Administration has set the
following limits on certain drugs based on FDA approved indications and
recommended limitations. Word.
Effective September 2008. For comments or questions regarding the HRSA Pharmacy
program, email
contact us.
360.725.2141 for regular authorizations, PDL, or
DAW requests, or
360.725.1982
for reimbursement at less than cost not
related to brand name dispense as written.
[DSHS #
13-798]
to request a regular prior authorization for a drug,
PDL, or DAW request.
[DSHS # 13-753]
for
reimbursement at less
than cost not related to brand name dispense as
written.
Page modified: November 2009
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