If you or your prescriber believe that waiting 7 days for a standard decision could seriously harm your life, health,
or ability to regain maximum function, you can ask for an expedited (fast) decision. If your prescriber indicates that
waiting 7 days could seriously harm your health, we will automatically give you a decision within 72 hours. If you do not
obtain your prescriber's support for an expedited appeal, we will decide if your case requires a fast decision. You cannot
request an expedited appeal if you are asking us to pay you back for a drug you already received.
Do you need a decision in 72 hours?
This information is required.
If you have a supporting statement from your prescriber, please attach it to this request.
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