Im taking two Pantoprazole a day now and I hope it works. May 7, 2012 | dailystrength.org. I don,t know when to take the Carafate as I don,t know if you can take it with a PPI. ...I read somewhere that you can take it then after half an hour you can take an antacid.
Be sure to include lab reports with requests when on. appropriate. To request a 72 hour emergency supply of medication you may call US Script at 1- 855-772-7125. NOTE: The 72 hour supply does not apply to specialty medications. Requests can also be mailed to: US Script, c/o Prior Authorization Department, 2425 West Shaw Avenue, Fresno, California 93711.
PRESCRIPTION DRUG PRIOR AUTHORIZATION REQUEST FORM. Plan/Medical Group Name: Care1st Health Plan Plan/Medical Group Phone#: (877) 792-2731. Plan/Medical Group Fax#: (323) 889-6254 or (866) 712-2731. Instructions: Please fill out all applicable sections on both pages completely and legibly. Attach any additional documentation that is.