Enteral Nutrition - State Of New York Prior Authorization Of Benefits (Pab) Form

CONTAINS CONFIDENTIAL PATIENT INFORMATION

Enteral Nutrition – State of New York

Prior Authorization of Benefits (PAB) Form

Complete form in its entirety and fax to:

Prior Authorization of Benefits (PAB) Center at (800) 601- 4829

1. PATIENT INFORMATION

2. PHYSICIAN INFORMATION

Patient Name: _______________________________

Prescribing Physician: ____________________________

Patient ID #:

_______________________________

Physician Specialty:

____________________________

Patient DOB: _______________________________

Physician Phone #:

_____________________________

Date of Rx:

_______________________________

Physician Fax #:

_____________________________

Patient Phone #: ____________________________

Physician Address:

_____________________________

Patient Email Address: ________________________

Physician DEA:

____________________________

Physician NPI #:

_____________________________

Physician Email Address: ___________________________

3.

NUTRITIONAL

4.

PRODUCT

PRODUCT

DESCRIPTION

5. DIRECTIONS

6. QUANTITY PER 30 DAYS

______________________

______________________

______________________

Specify: _________________

7. DIAGNOSIS: ___________________________________________________________________________________

CHECK ALL BOXES THAT APPLY

8. APPROVAL CRITERIA:

NOTE: Any areas not filled out are considered not applicable to your patient & MAY AFFECT THE OUTCOME of this request.

□

□

Yes

No

Patient has inherited diseases of amino acid or organic acid metabolism (e.g., Phenylketonuria/PKU)

□

□

Yes

No

Patient has branch–chain ketonuria, galactosemia, or homocystinuria

□

□

Patient has Crohn’s disease

Yes

No

□

□

Yes

No

Patient has gastroesophageal reflux with failure to thrive

□

□

Yes

No

Patient has disorders of gastrointestinal motility (e.g., chronic intestinal pseudo-obstruction,

Ogilvie’s syndrome)

□

□

Yes

No

Patient has ulcerative colitis

□

□

Yes

No

Patient has multiple severe, food allergies which if left untreated will cause malnourishment, chronic

physical disability, mental retardation or death

9. PHYSICIAN SIGNATURE

____________________________________________________________

__________________________________________

Prescriber or Authorized Signature

Date

Prior Authorization of Benefits is not the practice of medicine or the substitute for the independent medical judgment of a treating physician. Only a treating physician can determine what

medications are appropriate for a patient. Please refer to the applicable plan for the detailed information regarding benefits, conditions, limitations, and exclusions. The submitting

provider certifies that the information provided is true, accurate, and complete and the requested services are medically indicated and necessary to the health of the patient.

Note: Payment is subject to member eligibility. Authorization does not guarantee payment.

The document(s) accompanying this transmission may contain confidential health information that is legally privileged. This information is intended only

for the use of the individual or entity named above. The authorized recipient of this information is prohibited from disclosing this information to any other

party unless required to do so by law or regulation.

If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of

these documents is strictly prohibited. If you have received this information in error, please notify the sender immediately and arrange for the return or

destruction of these documents.

Enteral Nutrition State of New York PAB Fax Form 03.01.10. Doc

Express Scripts, Inc. is a separate company that provides pharmacy services and pharmacy benefit management services on behalf of health plan members.