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
Please use the universal fax form if the drug-specific fax form for a medication is not located below or if you are in Arkansas, Louisiana or Mississippi.
Illinois Certification of Medical Necessity Form – ONLY FOR PROACTIVE REVIEW REQUEST PURSUANT TO PREVIOUS NOTICE RECEIVED.