Prior Authorization Needed For Medicines Not On CalOptima’s Approved Drug List
If a medicine you need is not on CalOptima’s Approved Drug List, your doctor or pharmacy must ask CalOptima for approval. The approval request form is called a Prior Authorization (PA) Request form. The pharmacy and your doctor work together to submit it to CalOptima. All CalOptima network pharmacies and doctors have this form. Your doctor or pharmacy can fill out the form and send it to CalOptima for review.