Prior authorization (PA), the review needed by certain medications before an insurance plan will cover them, is critical. PA also determines if the medication is medically necessary and appropriate for the situation. If a patient does not get prior authorization, the medication may cost more or may not be covered.
In most cases, when an urgent request is filed, it could take 24 hours for a decision. And, generally, when a standard request is filed, it could take 15 days for a decision.
What kinds of drugs need prior authorization?
- Drugs that have dangerous side effects
- Drugs that are harmful when combined with other drugs
- Drugs that you should use only for certain health conditions
- Drugs that are often misused or abused
- Drugs that a doctor prescribes when less expensive drugs might work better
When telemedicine providers use Electronic Prior Authorization (e-PA) from eazyScripts, there is no long waiting period for insurance authorization. EazyScripts e-PA offers an intuitive electronic prior authorization tool so healthcare providers can quickly and seamlessly treat their patients. The entire e-PA process can take from two-to five minutes for approval. By streamlining the entire Prior Authorization process with patient insurance companies, eazyScripts saves invaluable time.
And, when you combine e-PA with eazyScripts’ e-prescribing, providers save even more time. Our e-prescribing software allows physicians to submit electronic prescriptions, at pharmacies convenient for their patients, right from their mobile devices. With SureScripts Certification connecting physicians to 90% of pharmacies in the United States, eazyScripts offers the most robust one-touch e-prescribing software available in the healthcare industry.