Form 61-211 Prescription Drug Prior Authorization Request Form - L.a. Care Health Plan

The Form 61-211 Prescription Drug Prior Authorization Request is used by L.A. Care Health Plan to request prior authorization for prescription drugs.

The Form 61-211 Prescription Drug Prior Authorization Request Form for L.A. Care Health Plan is typically filed by the prescribing health care provider or the patient.

FAQ

Q: What is Form 61-211?
A: Form 61-211 is the Prescription Drug Prior Authorization Request Form for L.A. Care Health Plan.

Q: What is a Prescription Drug Prior Authorization Request Form?
A: A Prescription Drug Prior Authorization Request Form is a form used to request prior authorization for prescription drugs.

Q: Why is prior authorization required for prescription drugs?
A: Prior authorization is required for certain prescription drugs to ensure they meet the health plan's criteria for coverage.

Q: What information is required on Form 61-211?
A: Form 61-211 requires information such as patient information, prescribing healthcare provider information, and details about the prescription drug being requested.

Q: What happens after submitting Form 61-211?
A: After submitting Form 61-211, L.A. Care Health Plan will review the request and determine whether to approve or deny prior authorization for the prescription drug.

Q: How long does it take to receive a response after submitting Form 61-211?
A: The response time for a prior authorization request submitted using Form 61-211 can vary, but typically it takes a few business days for a decision to be made.