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How do I contact the pharmacy benefit manager (PBM) for prior authorization requests?

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How do I contact the pharmacy benefit manager (PBM) for prior authorization requests?

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You may contact the PBM Call Center at 1-866-879-0106 or fax the appropriate prior authorization request form to 1-866-780-2198. Prior authorization forms can be found at http://www.indianamedicaid.com/ihcp/Publications/forms.asp.

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