Effective July 6, 2022: New Fax Number for Ambetter Pharmacy Prior Authorization Requests

Date: 06/30/22

Ambetter from Superior HealthPlan is continuously looking for ways to provide better service for members. To that end, Superior is working with the Pharmacy Benefit Manager (PBM), Envolve Pharmacy Solutions, to streamline the prior authorization process to ensure members have drug authorization request(s) reviewed timely and efficiently.

On July 6, 2022, Ambetter will be moving to a new fax number for pharmacy prior authorization requests: 1-800-977-4170. On the effective date, the Prior Authorization Request Form for Non-Specialty Drugs will be updated on Ambetter's Pharmacy webpage, and new prior authorization forms will be added to Provider.SuperiorHealthPlan.com, to contain the new fax number.

There has been no change in the current electronic Prior Authorization (ePA) process. Please continue to utilize CoverMyMeds to submit ePA requests. Additionally, at this time there will also be a change to the PA request fax number for Medicaid and CHIP members. Providers can read more about that change here.

For any questions, please contact Envolve Pharmacy Solutions Member Services 1-800-460-8988.

Please note: This information is an update from a previously posted article.