There may be some medications that require a pre- certification or a letter of medical necessity according to your benefit guidelines.
If a prescription requires pre-certification diagnosis is required by your health care professional.
A medication that requires a letter of medical necessity for approval requires description of diagnosis, length of treatment, and any previous medications tried.
Letters of medical necessity can be mailed to SUNRx or faxed to 1 (800) 786-7550.
You can print the Letter of Medical Necessity Form, have your doctor fill it out, and mail or fax it to SUNRx for approval.
If you have questions about medications that require pre-certification or that are medically necessary, please contact SUNRx customer service at (800) 786-1791.