Representatives Mark Green, MD, (R, Tenn.) and Kim Schrier, MD, (D-Wash.) reintroduced H.R. 2433, the Reducing Medically Unnecessary Delays in Care Act of 2025. The bill calls for additional ...

OHM Pharmacy Services, a Florida-based company operating under the names "Benzer" and "Auburndale," has pleaded guilty in a ...

The U.S. District Court for the District of Maine recently dismissed two separate suits alleging that health plans’ coverage ...

Nearly all those who have Medicare Advantage plans must deal with prior authorization. Now more prior authorization issues are appearing with Part D prescription drugs.

Plus, prior authorization can help ensure that a given drug or service is medically necessary ... A person may need to complete certain forms beforehand. These may ask for personal details and ...

By simply entering an order for a procedure into an electronic health record (EHR), AHN can now receive prior authorization from payers without any other human intervention, thanks to Humata’s ...

Wegovy (semaglutide) is an injectable medication that’s FDA approved ... to appeal an insurance coverage denial. Prior authorization (PA) is a form certain insurance companies require to approve ...

“When I prescribe a medication, I would say 95% of the time ... Meanwhile, Cigna announced in 2023 that it would remove nearly 25% of medical services form its prior authorization requirements. These ...

There’s other people I know that have had to get prior authorization for insulin, other types of asthma drugs, even an allergy medication at one point,” Varner said. The bill requires ...

but “building rapport” and “bluffing” so that they would work harder to help the agency seize more drugs. Prior to his arrest on Aug. 6, Lise, 33, had served nine years as a law ...

It doesn’t come in a biosimilar form. Biosimilars are like generic ... then determine whether Nplate is covered. If a drug requires prior authorization but you start treatment without the ...