Aspirus Health Plan believes in giving you all the information you need to make a sound decision. Whether you are choosing a plan and need to see the fine details, requesting information on behalf of a family member, or filing a claim, we are your resource.
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Prescription drug medications requiring prior approval are noted with a "PA" code on the prescription drug formulary. The formulary can be found here: https://www.aspirushealthplan.com/resources/pharmacy
If your medication requires prior approval, please contact your physician - or you can initiate the prior approval through Optum Rx's site. You will need to create a member account through Aspirus Health Plan (https://aspirushealthplan.com) and once registered, select "View My Pharmacy Information" - which will direct you to Optum Rx's site.
On Optum Rx's site, you can initiate a prior approval request by selecting "Benefits & Claims" and then select "Prior authorization of exception request"
HIPAA Forms
Prior Authorization Forms
Prior Authorization Lists
Find detailed information about your insurance plan including Summary of Benefits (SBC), Certificate/Contract, and Benefit Charts.