Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Health Solutions Prior Authorization Program before sending sensitive documents. FaxFlow is not affiliated with this organization.
Health Solutions Prior Authorization Program fax number
(844) 751-9981
Prior Authorization Program
Used for: Submit prescription drug prior authorization requests to insurers; program processes the PA review and returns decisions and communications.
Fax destination details
- Department
- Prior Authorization Program
- Purpose
- Submit prescription drug prior authorization requests to insurers; program processes the PA review and returns decisions and communications.
- Form
- Prescription Drug Prior Authorization Request Form — Saxenda (liraglutide) Prior Authorization Request
- Address
- 1685 Tech Ave, Mississauga, ON L4W 0A7, Canada
- Website
- Visit organization website
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.
Complete patient and plan member information, physician information, drug details, dosing, diagnosis, and supporting documentation. Sign and date where required. Send via fax to 1-844-751-9981 or mail to Health Solutions Prior Authorization Program, 1685 Tech Ave, Mississauga, ON L4W 0A7, Canada.
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