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Get fast, easy access to downloadable forms.
Download medical prior authorization forms here.
Download pharmacy prior authorization forms here.
Download NOMNC Forms here. These forms are for Skilled Nursing Facilities, Comprehensive Outpatient Rehabilitation Facilities, and Home Health Providers.
Providers may submit the completed form on behalf of the member by emailing HIPAAForms@upmc.edu. The submitted form will be processed within 1-2 business days.