Medication prior authorization

Clinically administered prior authorization list

Quartz will make monthly updates to the prior authorization list. We encourage providers to review the prior authorization list regularly for any updates or changes we may make. Please contact Customer Success with specific code information to determine if an item or service requires prior authorization.

Medication prior authorization information

Prior authorization is required for the clinic-administered medications listed below:

For patients that have pharmacy coverage through Quartz, prior authorization is required for the prescription medications listed in the prescription benefit PA criteria library.

Practitioners must submit a prior authorization request using one of the following ways:

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