PBMs Object To Real-Time Prior Authorization As Part Of E-Prescribing
This article was originally published in The Pink Sheet Daily
Medco, Express Scripts and Cigna maintain that “automated” prior authorization is not feasible because it requires a discussion with the doctor. The PBMs recommend that HHS should support electronic transmission of prior authorization “where feasible.”
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Automating prior authorization would be useful for drug classes, such as COX-2s and proton pump inhibitors, where coverage varies widely, MediMedia says. The firm maintains that implementation would be less complex than PBMs have asserted.
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