Provider Resources

Prior Authorization and Pharmacy

Quick Reference Guide

Premier Health Plan Implementation Resources

We have partnered with eviCore healthcare to provide authorization services for Premier Health Plan members. All outpatient elective CT, PET, MRI, MRA, Nuclear Stress and Echo Stress studies will require prior authorization. View Premier Health Plan Implementation Resources onlineOff Site Icon, including: registration and submission information, a comprehensive list of CPT codes, FAQs, and other helpful resources.

Prior Authorization Forms

Pharmacy Resources

Therapy-Specific Commercial Prior Authorization Forms

Therapy-Specific Medicare Prior Authorization Forms