Skip to content
Pacific Administrators, Inc. Logo
  • HOME
  • SERVICES
  • COMPANY
    • ABOUT US
    • CAREERS
    • PRESIDENT & CEO
    • NEWS
  • CONTACT US
  • RESOURCES
    • PROVIDER DIRECTORY
    • DOWNLOADS
    • SECURE FILE TRANSFER
    • PROVIDER PORTAL
  • Menu
Home » DOWNLOADS

DOWNLOADS > Forms (2)

  • Prescription Drug Pre-Authorization Request Form (466)
  • Prior Authorization Request Form (2708)

Navigation

Services
About Us
Careers
News
Provider Directory
Downloads
Secure File Transfer
Provider Portal

Contact Us

Pacific Administrators, Inc.
1440 Kapiolani Blvd., Suite 800
Honolulu, Hawaii 96814
Phone: (808) 441-8600
Fax: (808) 441-8750
M-F, 8:00am - 4:30pm HST

Legal

Terms of Use
Disclaimer
Privacy Policy

Employee
© 2025 Pacific Administrators, Inc.
A SiteOrigin Theme