Enrollment Forms

Download Enrollment Forms

Crohn's/Ulcerative Colitis

Cystic Fibrosis

Dermatology

Enzyme Replacement Therapy

General Enrollment

Growth Hormone

Hematopoietic

Hemophilia

Hepatitis C

Hepatitis C Digital Proteus Program

HIV

Immune Globulin Therapy

Infertility (General)*

Makena

Multiple Sclerosis

Neuromuscular Therapy

Oncology

For medications not listed on this form, please refer to our partners at

Avella Specialty Pharmacy

for additional limited distribution products.

Oncology-Revlimid, Pomalyst, Thalomid

Ophthalmology

Osteoarthritis

Osteoporosis

Pulmonary Arterial Hypertension

Rheumatology

RSV Regular Referral

Sublocade

Transplant

Optum Prior Authorization Criteria Specific Forms

Injectable Psychotropic - Optum

Neuromuscular - Optum - Achalasia, Chronic Anal Fissure, Detrusor Overactivity, Spasticity, Bleopharospasm

Neuromuscular - Optum - Migraine, Cervical Dystonia, Overactive Bladder

RSV- Optum