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US-Rx Care fax number

(954) 302-8425

Prior Authorization / Appeals

Used for: PA requests and appeals; Direct Member Reimbursement submissions (PA-related communications).

Fax destination details

Department
Prior Authorization / Appeals
Purpose
PA requests and appeals; Direct Member Reimbursement submissions (PA-related communications).
Form
Direct Member Reimbursement Form; Prior Authorization documentation — Direct Member Reimbursement Form; Prior Authorization (PA) Request
Address
US-Rx Care, 4600 Sheridan Street, Suite 200, Hollywood, FL 33021
Voice phone
800-608-2990

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 completed PA requests to 954-302-8425; use Direct Member Reimbursement Form for member reimbursements with receipts.

Review official form instructions

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