Prior Authorization

Information for Commercial Products

Here, in one convenient place, you’ll find all the prior authorization materials that you may need to reference or utilize to provide care for our commercial members. Whether you’re looking to confirm a prior authorization requirement, request authorization for a medication covered under the medical or pharmacy benefit, or determine which third-party vendor performs clinical review and utilization management for a particular service, you’ll find what you need here. We recommend using our portal, HPHConnect, to send or receive specialty referrals, submit authorization requests, and conduct other transactions — and you can easily register or login to HPHConnect below.