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The provider must retain copies of all documentation for five years. Mail or Fax Information to: Magellan Medicaid Administration, Inc. Prior Authorization P. O. Box 7082 Tallahassee, FL 32314-7082 Phone: 877-553-7481 Fax: 877-614-1078.
A prior authorization form will need to be completed by the prescriber and submitted to HealthKeepers before the prescription may be filled. To obtain the prior authorization form and a list of drugs that require prior authorization, please go to the website, http://www.anthem.com/pharmacyinformation/priorauth.html. Alternatively, you can contact Express Scriptsâ Prior Authorization Center at 1-866-310-3666 for more information.