Prior Authorization/Electronic Prior Authorization (ePA)

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AMCP In The News Specialty Pharmacy Continuum

Alternative Funding Plan Slammed as a Risky Model for Patient Care

When a 34-year-old patient being treated for stage IV colorectal cancer at Vanderbilt University Medical Center, in Nashville, Tennessee, was notified that his medication was no longer covered by his insurer, he contacted Vanderbilt Specialty Pharmacy. Pharmacists there immediately submitted a prior authorization that was denied, and they were told there was no appeal option.
Managed Care Practice Issues, Drug Pricing, Prior Authorization/Electronic Prior Authorization (ePA), Payment Systems
Blog

Prior Authorizations Play Crucial Role in Ensuring Appropriate Medication Use

AMCP CEO Blog: With PA so often misunderstood, perhaps we need to do a better job of explaining this tool to the general public. For example, we might provide an example of how PAs are applied to opioids as additional safeguards to ensure their appropriate use. Or how a PA might be applied to botulinum toxin to ensure the prescription is for medical, rather than cosmetic, purposes.
Prior Authorization/Electronic Prior Authorization (ePA), Managed Care Practice Issues
Press Releases

AMCP Partnership Forum on Prior Authorization Develops Recommendations to Improve Process

Press Release: Focusing on what’s best for the patient, leveraging technology to perform real-time benefit checks, and developing trust and transparency among stakeholders are some of the suggestions to emerge from AMCP’s recent Partnership Forum on “Optimizing Prior Authorization for Appropriate Medication Selection.”
Prior Authorization/Electronic Prior Authorization (ePA), Managed Care Practice Issues