Pharmacy Prior Authorization Request Form Fax Number Change

Date: 03/09/22

At Louisiana Healthcare Connections we are always looking for ways to provide a better service for your patient, our member.

In this continued pursuit, we are working with our Pharmacy Benefit Manager (PBM) in streamlining the prior authorization (PA) process to ensure your patients, our members, have their drug authorization request reviewed timely and efficiently.

Effective April 26, 2022, Louisiana Healthcare Connections will begin using a new fax number for pharmacy prior authorization requests. The new fax number is (833) 645-2733. The overall form has not changed.

After April 26, 2022, the new fax number will get PA requests to the right department.

There has been no change in our electronic Prior Authorization (ePA) process. Please continue to use CoverMyMeds to submit your ePA requests.