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Prescribers can submit requests to the OptumRx® prior authorization department by completing the applicable form (Part D, UnitedHealthcare or OptumRx) and faxing it to 1-800-527-0531. For urgent requests, call 1-800-711-4555.

Hours: 5 a.m. PST to 10 p.m. PST, Monday through Friday

The hospice form should be used for hospice enrollees. Please complete this form along with a drug-specific form found below, when available.

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A-Z drug-specific forms

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