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PHLP is a nationally recognized expert and consultant on access to health care for low-income consumers, the elderly, and persons with disabilities. For more than two decades, PHLP has engaged in direct advocacy on behalf of individual consumers while working on the kinds of health policy changes that promise the most to the Pennsylvanians in greatest need.




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Phone Numbers: Pennsylvania Medical Assistance

Medication Prior Authorization Fee for Service

Web page from DWP reviewing FFS prior auth:

http://www.dpw.state.pa.us/omap/provinf/pharmacy/omappharmpad.asp

Under fee for service:

To prior authorize brand name drugs 1-800-558-2660

To prior authorize H2 blockers when needed: 1-800-283-8863

To prior authorize erectile dysfunction medication: 1-888-379-3668

To prior authorize drugs for General Assistance recipients needing more than six prescriptions in a calendar month: 1-800-637-7840

To prior authorize sustained release oxycodone/Oxycontin® 1-800-558-2660

To prior authorize Cox-2 inhibitors 1-888-379-3309

For Prior Authorization under HealthChoices:

HealthChoices SE

Americhoice -800-711-4555

Health Partners 215-991-4300

KeystoneMercy

HealthChoices Lehigh Capital

AmerihealthMercy

Gateway

MedPlus

HealthChoices SW

Gateway

MedPLUS

UPMC for You

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