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Granite Alliance is committed to working with you to help our members stay healthy and have affordable, easy-to-access prescription drug coverage and care. We strive to have a strong working relationship with our Part D providers and pharmacies, and understand that as a health care provider, you play a key role in protecting the health of our members. The resources below are here to help you communicate clearly with your patients and provide the best possible care. 

Prior Authorization Requests

Granite Alliance requires prior authorization (PA) for certain medications in order to ensure the most cost-effective and beneficial treatment course. We offer real-time PA determinations through CoverMyMeds - just submit your request for any medication through the portal and receive a determination within minutes.

Our prior authorizations are processed through our pharmacy benefit manager, Prime Therapeutics. You can access their secure CoverMyMeds portal below to submit a request. You can also submit a request using our coverage determination request form, however we strongly recommend using CoverMyMeds in lieu of the form for a faster response. 

Prior Authorization Request

Formulary Requirements

Please review the Granite Alliance Formulary, our Prior Authorization, and our Step Therapy requirement documents to learn about the potential restrictions for medications you intend to prescribe to your patient. 

Granite Alliance Formulary  

Granite Alliance Step Therapy Requirements  

Granite Alliance Prior Authorization Requirements 

Other Resources

Granite Alliance Payer Sheet  

Provider Manual   

Last Updated Date: 03/29/2024

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