Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with AdventHealth Rx Plus Pharmacy before sending sensitive documents. FaxFlow is not affiliated with this organization.

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AdventHealth Rx Plus Pharmacy fax number

(833) 896-0650

Non-Specialty Prior Authorization

Used for: Submitting non-specialty formulary exception and prior authorization requests; faxing prescriptions (with cover sheet) as part of prescription processing.

Fax destination details

Department
Non-Specialty Prior Authorization
Purpose
Submitting non-specialty formulary exception and prior authorization requests; faxing prescriptions (with cover sheet) as part of prescription processing.
Form
Non-Specialty Formulary Exception/Prior Authorization Request Form — Non-Specialty Formulary Exception/Prior Authorization Request Form
Address
5050 Wesley Road, Suite 110, Apopka, FL 32712
Voice phone
+1-866-943-4535

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fax the completed form to 1-833-896-0650; include patient and prescriber information and any required documentation per the form.

Official form instructions are published as a downloadable file on the organization's website.

Sources and verification

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