Medical Pharmacy Preauthorization

Navitus Health Solutions and Archimedes Rx

Archimedes Rx provides medical pharmacy services for patients on Deseret Choice Hawaii, Deseret Premier, Deseret Protect, Deseret Select, and Deseret Value receiving treatment using any of these drugs.

The linked file lists medications for which preauthorization is required. This list is not all inclusive. Inclusion or exclusion of a medication on the preauthorization list does not guarantee coverage. Benefit coverage for any service is determined by the plan in which the participant is enrolled and applicable medical criteria. If you have questions about preauthorization or coverage requirements for drugs on this list, please call Archimedes at 888-504-5563. If you have questions about drugs not on this list, please call DMBA at 801-578-5600 or 800-777-3622 or Navitus Health Solutions at 833-354-2226.

To preauthorize medications administered in your office or facility, please use Archimedes' Medication Preauthorization Request form. Complete the form with applicable chart notes, laboratory results, and radiology findings, and fax to 866-491-6971 or mail to Archimedes, LLC, 278 Franklin Rd., Ste. 245, Brentwood, TN 37027.

Additional resources, if needed, are at Archimedes' website: archimedesrx.com/resources

If you have questions about the medical pharmacy program, including urgent requests, call Archimedes at 888-504-5563 Monday through Friday, 7 a.m. to 8 p.m. Central Time.