Get a Drug Authorization

How do I request authorization?

Check to see if the drug requires authorization – see drug lookup tool.

Check to see if the drug has an authorization form and fax the completed form to the number(s) listed on the form:

• Botulinum toxin for non-migraine indications – see drug policy for additional information
• Buprenorphine transdermal (Butrans®) – see drug policy for additional information
• Calcitonin Gene-Related Peptide (CGRP) Receptor Antagonists - see drug policy for additional information
• Direct-acting antivirals for hepatitis C – see drug policy for additional information
• OnabotulinumtoxinA for prevention of chronic migraine – see drug policy for additional information
• Opioids during the subacute period – See Prescribing Opioids to Treat Pain in Injured Workers for additional information
• Opioids during the chronic period - See Prescribing Opioids to Treat Pain in Injured Workers for additional information

If the drug does not have a prior authorization form:

• Call the Preferred Drug List (PDL) Hotline at 888-443-6798 or 360-902-4321
  • Monday – Friday 8 a.m. – 5 p.m.

• Have the following information before calling:
  • Patient’s name and claim number.
  • Prescriber’s name.
  • Drug name and strength.
  • Condition being treated.
  • Any previous drug trials.

How do I get authorization after-hours?

For prescriptions dispensed outside normal business hours, you may:

• Bill the drug under the patient's primary insurance or for straight cash transaction and then request authorization the next business day. The prescription can be rebilled as appropriate, or

• Bill for an emergency supply (up to 10 days) of the drug by entering “6” in the DAW field and then request authorization the next business day, or

• Wait to bill the prescription and request authorization the next business day.