Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Triple-S Salud before sending sensitive documents. FaxFlow is not affiliated with this organization.
Triple-S Salud fax number
(866) 856-1847
Used for: Pharmacy Department - submission of prior authorization requests and related documents for plan members (e.g., Mavyret PA), to Triple-S Salud (ASES Triple S).
Fax destination details
- Purpose
- Pharmacy Department - submission of prior authorization requests and related documents for plan members (e.g., Mavyret PA), to Triple-S Salud (ASES Triple S).
- Form
- Prior Authorization Form — Glecaprevir and Pibrentasvir (Mavyret) Prior Authorization Form
- Voice phone
- 1-800-981-3241
- 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.
Fill physician information, patient information, drug details, clinical criteria, and supporting documentation; physician signature and date required; attach supporting medical information as needed.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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