BCBS of Florida

To submit a prior authorization online, please click the button below to use the web form.

PDF forms are available below to submit a prior authorization through fax.

Title
FDA Medwatch Form
 1 file(s)  801 downloads

BCBSAL, BCBSFL, HiLab, HWMG, RxBenefits, sscripts

May 14, 2019

Download

General PA Request Form
 1 file(s)  600 downloads

BCBSFL

January 4, 2019

Download