| General Prior Authorization Forms | |
| Commercial Plan Prior Authorization Form | |
| Medicare Prior Authorization Form | |
| Drug Specific Prior Authorization Forms | |
| Eucrisa (crisaborole) | |
| Long-Acting Opioid Analgesics | |
| Short-Acting Opioid Analgesics | |
| Peer-to-Peer Form | |
| Appeal Request Form | |
| Request for PHI Form | Click here to download form |
If you are interested in partnering with us on our mission to disrupt healthcare, reach out to our nirvana innovation team. We would love to hear any comments, questions, or feedback.
Since 2013, the RxAdvance team has been dedicated to disrupting the healthcare industry, specifically in pharmacy benefit management. After 3 years of development, we went live with our first client in 2016 and delivered groundbreaking pharmacy benefit management services. Now that we have proven success year-after-year, we have decided to expand our impact beyond just the PBM industry—onto the payer industry. These two industries alone control the majority of the healthcare spend in the United States, including the $900+ billion of waste generated annually. With our expansion into a new portion of the industry, we have outgrown the RxAdvance name, since it does not accurately capture the scope of our healthcare reach and mission. We are excited to announce our new name and brand—nirvanaHealth. The RxAdvance name has served us well for many years and will continue to do so under nirvanaHealth.