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Peach State Health Plan fax number

(833) 582-2342

Pharmacy Prior Authorization / New Century Health Cancer Treatment Authorization

Used for: Pharmacy prior authorization submissions and cancer-treatment authorization (New Century Health) for Peach State Health Plan members

Fax destination details

Department
Pharmacy Prior Authorization / New Century Health Cancer Treatment Authorization
Purpose
Pharmacy prior authorization submissions and cancer-treatment authorization (New Century Health) for Peach State Health Plan members
Form
Pharmacy PA form
Address
1100 Circle 75 Parkway, Suite 1100, Atlanta, GA 30339
Voice phone
1-866-874-0633

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  • 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.

Submit a Faxed Pharmacy PA form to 1-833-582-2342 or complete an online PA via CoverMyMeds; for cancer treatment, use the New Century Health portal or submit an outpatient authorization form as directed.

Review official form instructions

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