Questions? Call us at
877.436.7748
(TTY 711) 8 a.m. to 8 p.m.
Log in
Log in as...
member-login
Created with Sketch.
Priority Health member
Log in to manage your health plan
agent-login
Created with Sketch.
Agent
employer-login
Created with Sketch.
Employer
provider-login
Created with Sketch.
Provider
Vendors, secure mail
Close
Open
MENU
Home
Drug authorization forms
Xultophy®
Back
Xultophy® (insulin degludec/liraglutide)
Authorization form
Optimized (07/2019)
Drug-specific auth forms
Approved Drug List
Our plans
About us
Magazine
Careers
Contact us
Member
Employer
Provider
Agent
Search site
Search
Search
Looking for a provider or approved drug?
Approved drug list
Find a doctor
Close
Top
