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Changes in Pharmacy Fax and Portal Use Reminder

Date: 03/14/22

Effective 4/1/2022

Dear Arizona Complete Health-Complete Care Plan (AzCH-CCP) Providers and Staff:

As stated previously in our Monthly Integrated Provider Call:

  • We encourage you to please use the provider portal to submit biopharmacy (in-office injectable) prior authorization requests (drug codes) for office administered infusion (aka: buy and bill) 
  • Please attach applicable chart notes and labs to the request and include the drug name, strength, dose and frequency.  This information allows us to complete our review of your request timely and completely.
  • Beginning 4/1/2022, there is a new fax number for AzCH-CCP Pharmacy Prior Authorization requests: 833-546-1508.  This fax is for medications that are filled by a pharmacy and given to the member.  Please see attached form and begin using this fax number on Friday, 4/1/2022.  The preferred method for submitting Pharmacy Prior Authorization requests continues to be through Cover My Meds, which is not changing.  The link to the Cover My Meds electronic prior authorization tool can be found at www.covermymeds.com/main/prior-authorization-forms/.
  • Visit https://www.azcompletehealth.com/providers/pharmacy.html for additional Pharmacy information, including the Arizona Complete Health Integrated Preferred Drug List (PDL). 

We encourage all prescribing clinicians to review the Arizona Complete Health PDL for preferred formulary alternatives prior to prescribing. 

Contact our Pharmacy Department at 888-788-4408 x 6031278 with any related questions.