The API to fax prior authorizations toMedicaidPBMsMedicareMedicaidPBMsMedicare

Simplex routes to
OptumRx
CVS Caremark
Express Scripts
Humana Pharmacy
Prime Therapeutics
MedImpact
Navitus
Capital Rx
Magellan Rx
PerformRx
Rightway
OptumRx
CVS Caremark
Express Scripts
Humana Pharmacy
Prime Therapeutics
MedImpact
Navitus
Capital Rx
Magellan Rx
PerformRx
Rightway
And more
Try for free
CVS Caremark
Prior Authorization Form
Patient + Provider Info
Drug Info
Wegovy 2.4 mL
Clinical Documentation
Charts, Notes
Sent to plan
Confirmation received
A team from world-class institutions
MITY CombinatorWaymoTesla

How Simplex works

01

Send your patient, provider, drug, and clinical information through the Simplex API via a standard schema.

02

Simplex transforms the data to the correct form and faxes the prior auth request on your behalf.

03

Status updates flow back in real time as payers send responses back to Simplex.

04

Track approvals, denials, and turnaround times in one dashboard or via API.

Works across payers and across medications

For Telehealth Dietitian Clinics

GLP-1 prior authorization for Wegovy, Zepbound, Ozempic, and Mounjaro.

For Telehealth Psychiatry Clinics

ADHD prior authorization for controlled substances like Adderall, Vyvanse, and more.

Prior Authorization Form
CVS CaremarkOptumRxCapital RxHumana
Wegovy 2.4 mg / 0.75 mL — chronic weight management
Ozempic 1 mg / 0.5 mL — type 2 diabetes
Mounjaro 10 mg / 0.5 mL — type 2 diabetes
Zepbound 10 mg / 0.5 mL — chronic weight management
Adderall XR 30 mg — ADHD, controlled substance
Vyvanse 70 mg — ADHD, controlled substance
Humira 40 mg / 0.4 mL — rheumatoid arthritis

Submit prior authorizations with the data layer you already have

Simplex intakes your existing clinical data via a single API.