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Submit A Separate Form For Each Medication.
This page contains medical authorization forms for providers to use when communicating with highmark. The prescribing physician (pcp or specialist) should,. The prescribing physician (pcp or specialist) should,. Use this form for all physical, occupational, speech, and feeding therapies, pulmonary and cardiac rehabilitation, and chiropractic care.
Complete All Information On The Form.
Submit a separate form for each medication. Find all the forms you need for prior authorization, behavioral health, durable medical equipment, pharmacy, appeals, and more. Complete all information on the form.