Provider Instructions
To initiate and/or complete prior authorizations (coverage reviews) with Medco, prescribers have several options available. First, prescribers with a Personal Identification Number (PIN) and password can log on to Medco's prescriber coverage review website to view existing coverage review cases for their patients, initiate a coverage review case for their patients (a rejected pharmacy claim must be on file in order to initiate a case), or complete a coverage review case (answer the coverage criteria questions required to determine coverage).
If a prescriber does not have, or does not know their PIN and password, please call Medco at 800-496-5661, 8 a.m. to 9 p.m., eastern time, Monday thru Friday, and a PIN and password will be provided.
Another option to initiate and/or complete a coverage review case is to contact Medco's coverage review department at 800-753-2851, twenty-four hours a day, seven days a week.
