To verify a member's plan, please either log in or register. Our goal is to help you quickly and easily find out if you, the provider, or a provider referral, participate in the member's plan.
*Blue Shield of California Member Plans Only
Prior Authorization Forms
Download and print the most commonly requested prior authorization fax forms for commercial and FEP procedures, injectable drugs (office administered and home self-administered), and oral/topical drugs, choosing from the lists below.
You can also request authorization for Blue Shield 65 Plus here: Blue Shield 65 Plus Request for Prior Authorization/Referral Form (PDF, 49KB).
You need Adobe Reader to view the forms.
Office Administered Drugs
Home Self-Administered Injectable Drugs