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Magellan Rx Pharmacy, LLC fax number

(888) 272-1349

Prior Authorization (PA) – Prescriber PA submission

Used for: Prior Authorization request submission for prescription medications (GatorCare/MagellanRx PA process)

Fax destination details

Department
Prior Authorization (PA) – Prescriber PA submission
Purpose
Prior Authorization request submission for prescription medications (GatorCare/MagellanRx PA process)
Form
Prior Authorization Form — Prescription Drug Prior Authorization Form (GatorCare)
Voice phone
1-800-651-8921

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Complete the prescriber and patient information and fax the form to 1-888-272-1349; for help, call 1-800-651-8921.

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

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