P-2.2.2.5. MCO Pharmacy Prior Authorization

Refer to the Pharmacy MCO Assistance Chart for the prior authorization call center phone numbers for each MCO.

Refer to the links to each MCO's clinical prior authorization criteria or forms on the VDP website MCO Resources page (www.txvendordrug.com/resources/managed-care/mco-resources).

Refer to the Pharmacy Clinical Prior Authorization Assistance Chart for a list of the clinical prior authorizations each MCO uses and how those authorizations relate to those used for processing fee-for-service Medicaid claims.