The New York Times on Tuesday examined how some physicians and pharmacists maintain that many medications covered by Medicare prescription drug plans are "not readily available" to beneficiaries ...

Prior authorization is the process by which your doctor must request approval from your Medicare plan before they can order a particular medication or medical service. Generally, Original Medicare ...

There's good news for those hoping to use these drugs for weight loss.

Humana is working with a health IT company to roll out an electronic prior authorization model that enables physicians to simplify prescription prior authorization requests so patients can get quicker ...

Between one-off charges, administrative fees, and office visit copays, some are trying ...

Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...

Over the past five years, selective cyclooxygenase-2 inhibitors (coxibs) have accounted for a growing proportion of prescriptions for nonsteroidal antiinflammatory drugs (NSAIDs). To control these ...

A policy allowing prescribers to write prior authorization criteria directly on the prescription led to decreased gaps in therapy without diminishing drug cost savings. : To determine if the instant ...

Recipients of Medicaid frequently face prior authorization hurdles when pursuing medical care or treatment. Medicaid is a ...

Prior authorization requirements for PCSK9 inhibitor prescriptions are more cumbersome than those in place for other cardiometabolic drugs, a new study demonstrates. The complex processes are seen for ...

The first specialty medications added, Vivitrol and Epidiolex, are used to treat substance use disorder and epilepsy. “CVS Caremark and Surescripts share a commitment to transform the prior ...

Empowering Specialty Pharmacies, Hub Service Companies, and Drug Manufacturers to Expedite Patient Access PARSIPPANY, N.J., Feb. 19, 2025 /PRNewswire/ -- Agadia, a leader in Utilization Management ...