HMSA’s pharmacy benefit manager Prior Authorization Fax Forms
Forms are being updated and will be made available soon. In the meantime to submit a PA please visit https://www.caremark.com/wps/portal/HEALTH_PRO_PRIOR_AUTH_INFO or call the numbers below.
| Request Method | Commercial | QUEST Integration | Medicare |
|---|---|---|---|
| Electronic PAs | https://www.caremark.com/wps/portal/ HEALTH_PRO_PRIOR_AUTH_INFO |
https://www.caremark.com/wps/portal/ HEALTH_PRO_PRIOR_AUTH_INFO |
https://www.caremark.com/wps/portal/ HEALTH_PRO_PRIOR_AUTH_INFO |
| Phone | 1-855-240-0543 | 1-855-220-5732 | 1-855-479-3659 |
| TTY | 1-800-863-5488 | 808-863-5488 | 1-866-236-1069 |
| Fax | 1-855-762-5207 | 1-855-762-5206 | 1-855-633-7673 |
| Hours of Operation |
Monday-Friday, 7:45 a.m.-5 p.m. Hawaii Standard Time |
Monday-Friday, 7:45 a.m. -5 p.m. Hawaii Standard Time |
Monday-Friday, 8 a.m. - 8 p.m. Hawaii Standard Time |
| After-hours Phone | 1-855-298-2491 | 1-855-479-3656 | 1-855-479-3659 |
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform. |