BC Advantage - 2020 Issue 3

Pharmacy Prior Authorization: Challenges and Solutions

The prior authorization (PA) process can cost pharmacies and physicians' practices a lot in terms of time and money. A December 2018 survey by the American Medical Association revealed that, despite efforts to reduce administrative burdens and provide timely care, Prior Authorizations continue to pose significant challenges for both physicians as well as patients. Up to 88 percent of the 1000 practicing physicians surveyed reported that the number of prior authorizations required for prescription medications had increased over the last five years, with half of the respondents saying they had increased significantly. Obtaining a prior authorization is a...

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