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Illinicare Health Prior (Rx) Authorization Form

Illinicare Health Prior (Rx) Authorization Form

Updated July 27, 2023

An Illinicare Health Prior Authorization Form allows a prescriber to request coverage for a proposed medication to the patient’s medical insurance provider. If your patient is a member of Illinicaire Health, you will be required to submit the Illinicare Health Prior Authorization Form which you can find attached to this webpage.