Begin by contacting your Tricare provider to confirm Cialis is covered under your specific plan. Eligibility varies depending on your plan (Prime, Reserve Select, etc.) and your diagnosis. They will provide necessary forms and instructions for prior authorization.
Required Documentation
Typically, you’ll need your physician’s prescription, a completed Tricare prior authorization form, and detailed medical records justifying the need for Cialis. These records should clearly document your medical history, including diagnostic tests and treatment attempts. Ensure your doctor thoroughly explains the medical necessity of Cialis in your specific case. Incomplete or missing documentation delays processing significantly.
The Authorization Process
Submit all required documentation to the designated Tricare address or online portal. You can track your request’s status online using your Tricare member ID. Allow ample processing time; response times vary, but expect several weeks. If your request is denied, understand the reason for denial and contact your doctor or Tricare immediately to discuss options, including an appeal. Appeals require additional documentation and a clearly articulated rationale for reconsidering your case.
Alternative Medications
If Cialis prior authorization is denied, discuss alternative treatments with your doctor. They might suggest other medications or therapies to address your condition. Your doctor can help navigate the approval process for alternatives, if necessary.
