Drug authorization forms

For authorization forms and more drug-specific information, click the drug name below.

Use the right form for the member’s Priority Health plan:

Traditional: Most employer group plan members
Optimized: MyPriority individual plans and some employer group plans (member ID card will show Optimized RX: Yes)
Medicaid: Medicaid and Healthy Michigan plan members
Medicare: Medicare Advantage plan members and employer-sponsored Medicare plans such as MPSERS

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