• Provider Login for Eligibility and Claims
• Windsor Plans
• Provider Directory by Service Area
• Prior Authorizations
• Provider Forms
• Pharmacy Coverage Determinations
• Appeals
• Provider FAQs
• Medication Therapy Management Program
• List of Covered Part D Drugs
• Quality & Safety Edits
• Part D Transition Policy
• Electronic Prescribing Program

Prior Authorizations

To view the current list of services and pharmaceuticals requiring prior authorization for members of our Windsor Medicare Extra Plans, please select from the list below:

Prior Authorization Procedures (PDF)

Prior Authorization Part B Drugs (PDF)

To view the current list of drugs that require a FDA approved diagnosis in order for the drug to be covered, please select from the list below:

Part B Diagnosis Drugs (PDF)

To view and download the Part B Prior Authorization Request Form, please click on the link below:

Part B Prior Authorization Request Form (PDF)

In addition, certain Part D covered drugs may require prior authorization, and/or have quantity limits or step therapy requirements. Please, go to Pharmacy Coverage Determinations for more information about these requirements and limits.