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Authorizations

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    Drug Authorizations (Pharmacy and Medical)

    Pharmacy and Medical prescription drug authorizations listed by plan type

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    Medical Authorizations

    Prior authorization forms, the reconsideration form, and policy information

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    Authorization Updates

    Authorization update reports by plan type
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    Prior Authorization Lookup Tool (PAL)

    Search by procedure code or full/partial code description.
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    Behavioral Health Authorizations

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© Sentara Health Plans 2025, PO Box 66189, Virginia Beach, Virginia 23466

Sentara Health Plans is the trade name for Sentara Health Plans, Sentara Health Insurance Company, Sentara Health Administration, Inc., and Sentara Behavioral Health Services, Inc. Health Maintenance Organization (HMO) products, and Point-of-Service (POS) products are issued and underwritten by Sentara Health Plans. Preferred Provider Organization (PPO) products are issued and underwritten by Sentara Health Insurance Company. Sentara Health Administration, Inc. provides administrative services to group and individual health plans but does not underwrite benefits. All plans have benefit exclusions and limitations and terms under which the policy may be continued in force or discontinued. Medicare products are administered under an agreement with Sentara Health Plans and the Centers for Medicare and Medicaid Services (CMS). Medicaid and FAMIS products are administered under an agreement with Sentara Health Plans and the Virginia Department of Medical Assistance Services (DMAS).