Provider-Administered Drug Forms


How to submit a precertification request to Magellan Rx:


  • Log in to ProviderAccess
  • Go to Eligibility & Benefits, enter patient information and click "Continue"
  • Click the "Additional Coverage" tab
  • Scroll to Provider-Administered Drug Program section


By Phone:

  • Call Magellan Rx at 1-800-424-8270 
  • Urgent requests must be called in to Magellan Rx, do not submit urgent requests online.