Medication Information

Medical Drug Management (MDM) 2022 Prior Authorization List

Pharmacy Prior Authorization with CoverMyMeds

CoverMyMeds helps patients get the medication they need to live healthy lives by streamlining the prior authorization (PA) process for providers and pharmacists. Start today by creating a free account, or logging in to your existing account at

Use the following form when none of the current prior authorization forms listed below apply:

Additional Prior Authorization Resources

Prior Authorization Forms

Type keyword in the search bar or scroll through the prior authorization forms listed below.

Medical and Pharmacy Prior Authorization Forms

Pharmacy Only Prior Authorization Forms

Need more information?

If you can't find the information you need here, call Pharmacy Services at 1-844-325-6251.