Specialty Injectable Medications
In order for Mercy Care Plan patients to obtain medications on the
Specialty Injectable Medications
Drug List, the provider will need to:
1. Complete the
Specialty Medication Authorization Form.
2. Fax the form to Mercy Care Plan at 1-800-854-7614.
Completion and submission of the Specialty Medication Authorization Form will initiate
the prior authorization process for drugs on the list. Additional information may
be requested, such as pertinent medical records. Once approved, CuraScriptTM will
provide the medication to the location identified on the form (e.g. the provider's
office or member's home) within 48 hours.