BCBS of Alabama

To submit a prior authorization online, please click the button below to use the web form.

PDF forms are available below to submit a prior authorization through fax.

Title
BCBSAL December 3, 2020
BCBSAL, BCBSFL, HiLab, sscripts December 15, 2020
BCBSAL December 15, 2020
BCBSAL November 11, 2021
BCBSAL November 11, 2021
BCBSAL December 4, 2020
BCBSAL November 11, 2021
BCBSAL December 4, 2020
BCBSAL November 11, 2021
BCBSAL November 11, 2021
BCBSAL December 4, 2020
BCBSAL November 11, 2021