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Web request for prior authorization for botulinum toxins. Cgrp inhibitors medication request form. Web prior authorization below is a list of common drugs and/or therapeutic categories that require prior authorization: The prescribing physician (pcp or specialist) should, in most cases, complete.
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Web for a complete list of services requiring authorization, please access the authorization requirements page on the highmark provider resource center under claims, payment. Behavioral health authorization request forms: Submit a separate form for each medication. Web review and download prior authorization forms.