There isn’t a specific form your healthcare professional ... If you need an off-label drug, prior authorization can approve your prescription only if its effectiveness is supported by peer ...

Reauthorization is a type of prior authorization, a process used by insurers and PBMs to help determine the medical necessity of services, procedures and medications before coverage. Insurance ...

Rep. Mark Green (R-Tenn.) reintroduced a bill Thursday seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans requiring only ...

Getting prior authorization for medications can be a struggle in allergy and asthma care, but creating templates and paying ...

(Table 1) All but one of the specialty drugs require prior authorization in 90 percent or more of plan formularies. The non-specialty drugs include one GLP-1 drug, which is always subject to prior ...

Prior authorization requires doctors to get approval from a patient’s health or drug plan before providing a medical service, like performing surgery or prescribing a medication. Insurers and ...