An article in Medical Economics entitled: “Electronic prior authorization: The solution to physicians' headaches,” outlined the benefits of electronic prior authorization (ePA). Electronic prior authorization not only reduces the work and cost involved in prior authorizations, but also makes patients happier. Instead of being forced to wait a day or two for a pre-authorization to arrive, usually after an unsuccessful trip to the pharmacy. With ePA patients are able to get a prescription approved before leaving the physician’s office.
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.