PDF forms are available below to submit a prior authorization through fax.
| Title | Categories | Update Date | Download |
|---|---|---|---|
|
FDA Medwatch Form 1 3244 downloads |
aboundrx, affirmedrx, capslrx, Four Corners Health, HiLab, IH-Script, inscript, oreadrx, pcarx, rxsense, UNC Health, verusrx, wellyfe | December 30, 2025 | Download |
|
OreadRx Prior Authorization Request Form 1 2742 downloads |
oreadrx, rxsense | June 11, 2025 | Download |