For a faster response, log into
and use electronic Prior Authorization (ePA). (This excludes New Jersey.)
Medicaid and Medicare Part B
Click the Health Plan location to download the required Prior Authorization Request Form.
Florida Psychotropic Medication Guidelines for Children Younger than 13
Medicare Part D Rx coverage determinations
Providers can send a request for a prescription coverage determination for a Medicare plan via electronic prior authorization (ePA) rather than fax or phone by submitting the request from one of the following ePA websites: