Cancer treatment (Non-surgical) preauthorization
All non-surgical outpatient cancer treatments require preauthorization. To obtain preauthorization, log in to www.eviti.com and select the appropriate cancer treatment. If you choose an evidence-based treatment, you will receive immediate authorization approval, called an eviti code. If you wish to submit a customized treatment plan, you may do so. However, customized plans require special review and may delay your authorization. If you experience any issues using the www.eviti.com site, please contact eviti support at (888) 678-0990.
Please note: Based on the PCIP enrollee's benefits, some medications must be obtained from Medco to avoid penalties to the member. For information about which drugs require specialty dispensing, please contact Medco at (800) 551-7675.
Other authorization forms