Does Vyvanse require prior authorization?

All requests for Vyvanse to Treat Binge Eating Disorder require a Prior Authorization and will be screened for medical necessity and appropriateness using the criteria listed below.

Is OptumRx a good company?

Optumrx has a consumer rating of 1.12 stars from 190 reviews indicating that most customers are generally dissatisfied with their purchases. Consumers complaining about Optumrx most frequently mention customer service, local pharmacy and mail order problems.

Why does Adderall need prior authorization?

Prior authorization is designed to help prevent you from being prescribed medications you may not need, those that could interact dangerously with others you may be taking, or those that are potentially addictive. It’s also a way for your health insurance company to manage costs for otherwise expensive medications.

How to contact Optum Rx for prior authorization?

If the patient is not able to meet the above standard prior authorization requirements, please call 1-800-711-4555. For urgent or expedited requests please call 1-800-711-4555. This form may be used for non-urgent requests and faxed to 1-800-527-0531.

Are there any exclusions for using OptumRx?

Exclusions may include cost reduction requests such as tiering exception, copay waiver, and tier cost sharing. OptumRx is not authorized to review requests for medications supplied by the physician’s office. For requests for buy and bill, please contact the patient’s medical benefit.

How to contact OptumRx PA Department of Environmental Protection?

Call 1-800-711-4555, 5 a.m. – 10 p.m. PT, Monday-Friday and 6 a.m. – 3 p.m. PT, Saturday If you cannot submit requests to the OptumRx® PA department through ePA or telephone, click here.

How many prior authorizations do we receive each month?

More than half of the prior authorizations we receive each month are through electronic prior authorization (ePA). This number continues to grow. Many practices, however, remain unaware of the benefits that ePA offers. The benefits of ePA ensure an optimal experience for both member and provider.