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Insurance Plans - New Mexico
Select the name of your insurance company to find out where to get forms
and to find contact information for your plan if you need to request prior
authorization or an exception.
This information was collected from the Web sites of the plans, and
in some cases from e-mails and phone calls to the plans. It is provided
here in an effort to make the information more conveniently available
to you. We do not endorse any particular plan and we are not responsible
if any plan has been inadvertently omitted from this list. We have not
verified this information. In addition, we cannot be responsible for ensuring
that the information is always up to date. Please notify
us if you are aware that any of the information provided has changed.
If you would like more detailed and current information, we suggest that
you consult the Medicare
Web site.
AETNA HEALTH INC
CONNECTICUT GENERAL LIFE INSURANCE
COMPANY
COVENTRY
HEALTH AND LIFE INS COMPANY
Where to Get Forms:
Call 1-800-551-2694 and ask to have form faxed.
Phone # to request Prior Authorization: 1-800-551-2694
Phone # to request Exception: 1-800-551-2694
Fax #: Call 1-800-551-2694 and ask for fax number.
E-mail Address: Not Available
Updated: May 2006
FIRST HEALTH LIFE & HEALTH
INSURANCE COMPANY
Where to Get Forms:
Call 1-800-551-2694 and ask to have form faxed.
Phone # to request Prior Authorization: 1-800-551-2694
Phone # to request Exception: 1-800-551-2694
Fax #: Call 1-800-551-2694 and ask for fax number.
E-mail Address: Not Available
Updated: May 2006
HCSC INSURANCE SERVICES COMPANY
HUMANA HEALTH PLAN, INC.
LOVELACE HEALTH PLAN, INC.
MARQUETTE NATIONAL LIFE INSURANCE
COMPANY
Where to Get Forms:
Call 1-800-244-5800 and ask to have form sent.
Phone # to request Prior Authorization: 1-800-244-5800
Phone # to request Exception: 1-800-244-5800
Fax #: 513-881-6841
E-mail Address: JRoesch@pharmacare.com
Updated: May 2006
MEDCO CONTAINMENT INSURANCE
COMPANY OF NEW YORK
Where to Get Forms:
Your pharmacist will receive information from the plan if your prescription
is denied because of a coverage problem.
Phone # to request Prior Authorization: Your pharmacist will receive
information from the plan if your prescription is denied because of a
coverage problem.
Phone # to request Exception: Not Available
Fax #: Not Available
E-mail Address: Not Available
Updated: May 2006
MEMBERHEALTH, INC.
PACIFICARE LIFE AND HEALTH
INSURANCE COMPANY
PENNSYLVANIA LIFE INSURANCE
COMPANY
Where to Get Forms:
Call 1-800-244-5800 and ask to have form sent.
Phone # to request Prior Authorization: 1-800-244-5800
Phone # to request Exception: 1-800-244-5800
Fax #: 513-881-6841
E-mail Address: JRoesch@pharmacare.com
Updated: May 2006
PRESBYTERIAN HEALTH PLAN
SIERRA HEALTH AND LIFE INSURANCE
COMPANY, INC.
SILVERSCRIPT INSURANCE COMPANY
STERLING LIFE INSURANCE COMPANY
Where to Get Forms:
http://www.foxrxcare.com/exceptions.htm
Phone # to request Prior Authorization: 1-888-369-7979
Phone # to request Exception: 1-888-369-7979
Fax #: 1-866-284-4509
E-mail Address: Not Available
Updated: May 2006
UNICARE
UNITED AMERICAN INSURANCE COMPANY
Where to Get Forms:
Your pharmacist will receive information from the plan if your prescription
is denied because of a coverage problem.
Phone # to request Prior Authorization: Your pharmacist will receive
information from the plan if your prescription is denied because of a
coverage problem.
Phone # to request Exception: Not Available
Fax #: Not Available
E-mail Address: pharmcontracting@medco.com
Updated: May 2006
UNITED HEALTHCARE INSURANCE
COMPANY
Where to Get Forms:
Call 1-877-665-6644 and ask to have form faxed.
Phone # to request Prior Authorization: 1-877-665-6644
Phone # to request Exception: 1-800-207-2603
Fax #: 1-866-617-6720
E-mail Address: provider.relations@walgreens.com
Updated: May 2006
WELLCARE HEALTH PLANS
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