Pharmacy/MedImpact

Pharmacist with Customer

Permanente Advantage DOES NOT provide pre-certification for services that obtain pharmacy-related medications. Such services that relate to a pharmaceutical medication include oral medications or self-injectables. ALL medication related to these types of services and may be Pharmacy-related, you will need to contact the Pharmacy Benefit Manager: MedImpact.

MedImpact @ 800-788-2949 or by fax @ 858-621-5147.

MedImpact Prescription Drug Prior Authorization fax # 858-790-7100.

** This is for KPIC PPO and POS Members who obtain care from contracted and non-contracted external providers. **