You may request prior authorization for a pharmacy or medical benefit drug in one of the following ways:
- PromptPA — With this online tool you can quickly and easily submit requests for pharmacy and medical benefit drugs. View drug-specific criteria, attach clinical information, check the status of your PromptPA request, and receive a response more quickly. Submit your request or view the PromptPA User Guide for more information.
- Electronic PA (ePA) — Utilize ePA through EMR, CoverMyMeds (for both pharmacy and medical benefit drugs), or Surescripts (for pharmacy drugs only)
- FAX — Submit your request using the corresponding form found below and fax to the number indicated on the form.
- Mail prior authorization form to the appropriate Plan:
Harvard Pilgrim Health Care/Tufts Health Plan
Pharmacy Utilization Management Department
1 Wellness Way
Canton, MA 02021-1166