To submit a prior authorization request, please complete the Prescription Drug Prior Authorization Form and send it (along with additional documentation, if necessary) to any of the following:
- Fax: (833) 434-0563
- Electronic: CoverMyMeds® website
- Mail:
Capital Rx
Attn: Claims Dept.
9450 SW Gemini Dr., #87234
Beaverton, OR 97008
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