Expedited Opioid Authorization Codes - Washington State Local Health Insurance - CHPW
Community Health Plan of Washington Apple Health Medicaid Plan Community Health Plan of Washington Apple Health Medicaid Plan

Expedited Opioid Authorization Codes

Pharmacy Expedited Authorization Codes

Use the following codes for the situation that applies to your patient. If none of the situations apply, please fill out a Chronic Opioid Attestation form and fax it to Express Scripts at 1-877-251-5896.

Patient’s prescriber has indicated “Exempt” on the prescription (acute use only):

  1. Enter PA Type: 01
  2. Enter PA Number: 85000000541

Patient has a diagnosis indicating cancer treatment, hospice care, palliative care, or other end of life care:

  1. Enter PA Type: 01
  2. Enter PA Number: 85000000540

If none of the above situations apply, please complete a Chronic Opioid Attestation form and fax it to Express Scripts at 1-877-251-5896.

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