- All Risk Solutions & Services
  Let us help you prevent incidents and control their costs.
- Employee Safety
  Promote productivity by keeping staff injury-free and on the job.
- Transportation
  Keep your white and yellow fleets safe and road ready.
- Cybersecurity
  Protect your data, funds, and reputation from cybercrime.
- Safety & Security
  Create learning environments that prioritize staff and student safety.
- Legal Risk
  Reduce the risk of liability and costly lawsuits.
- Facilities
  Maintain facilities and equipment for efficiency, safety, and savings.
- Unemployment Compensation
  Comply with the law, navigate complex claims, and manage your costs.
Training & Events
- Resources Overview
- Insights
  Learn about the latest risk management trends and best practices.
- Resource Library
  Find forms, notices, templates, guides, and other resources you need.
- Membership FAQ

Request for Prescription Drug Preauthorization Form

Healthcare providers treating injured employees submit this simple form to request preauthorization for prescriptions.

Form

This form facilitates workers’ compensation preauthorization requests for prescription drug benefits. Providers must include clinical documentation and signed orders.

WC_Preauthoriazation-Request-for-Prescription-Drugs.pdf

PDF 208 KB