Of 300 million prior authorization requests rejected at the pharmacy each year, 36 percent are abandoned, according to a recent report by CoverMyMeds. CoverMyMeds published the ePA National Adoption ...

Optum Rx, the pharmacy benefit manager under UnitedHealth Group, is set to eliminate prior authorization requirements for approximately 80 prescription drugs in an effort to simplify access to ...

Obtaining prior authorization for prescription medications is a time-consuming process for prescribers, patients and pharmacists that currently requires phone calls, faxes and hard-copy request forms.

The Centers for Medicare and Medicaid Services (CMS) has implemented prior authorization requirements for certain traditional ...

Does Medicare require prior authorization? Medicare Advantage plans often require prior authorization. But these coverage reviews are rare for original Medicare. That distinction changes in 2026. Many ...

Please provide your email address to receive an email when new articles are posted on . After a new prior authorization policy, fills of a 30-day prescription did not occur until day 49.2. Overall, ...

A new survey of physicians finds they are still facing burdens meeting prior authorization requirements despite a voluntary 2018 agreement among payer groups to reform the practice. The survey was ...

Surescripts has released a new survey revealing widespread frustration among prescribers and pharmacists over prior authorization requirements, which they say delay treatment and can harm patients.

Patients and medical professionals complain that prior authorization interferes with treatment, causes medical provider burnout, and increases administrative costs. A new Missouri bill would establish ...

Optum Rx has announced it will drop prior authorization for an estimated 80 drugs starting May 1. The program targets reauthorizations of drugs. For instance, once a genetic condition such as cystic ...

New Year’s Day, the day of new beginnings, is a day health care providers like me dread. It starts the annual deluge of requests to renew “prior authorizations” — a bureaucratic tactic that insurers ...