SubHero Banner
Text

Electronic prior authorization (ePA)
through CoverMyMeds

CoverMyMeds logo

Sign in

Text

Other ways to submit prior authorization forms

If you cannot submit requests through electronic prior authorization (ePA), or for urgent requests, please call us at 1-855-297-2870. 
Hours: 
5am PST to 10pm PST, Monday through Friday
6am PST to 3 pm PST, Saturday

Otherwise, you can submit requests to the OptumRx® Prior Authorization Department by completing and faxing the applicable form. 

Text

A-Z drug-specific forms

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Text
Text

W

  •  
Text

Y

  •  
Text

Other Forms