Medical drug prior authorization

Page last updated on: 7/22/26

If a drug on Priority Health's Medical Drug List (MDL) requires prior authorization (PA), providers can submit a coverage request to our Pharmacy Department using one of the following methods:

  • Fax: Complete the appropriate prior authorization form and fax it to 877.974.4411
  • Online: Submit your request through the web form

To avoid delays, be sure to include all required clinical information and supporting documentation with your request.