Prior Authorization Request Forms Standard PA Forms Standard PA Form (All Non-Opioid Drugs) 1 file(s) 109.30 KB Download Acute Opioid Use PA Form (less than 90 days of opioid use) 1 file(s) 123.73 KB Download Chronic Opioid Use PA Form (greater than 90 days of opioid use) 1 file(s) 217.49 KB Download State Forms California DWC Form RFA VIEW Louisiana 1010 form VIEW West Virginia Controlled Substance Form VIEW
