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 ...

Policymakers are increasingly focused on reforming prior authorization to reduce administrative burdens and improve patient ...

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.

On average, the study showed that Medicare prescription drug plans now cover just 56% of analyzed medications – a steep drop ...

Rep. Dr. Greg Murphy (R-N.C.) hopes his personal ordeal with prior authorizations will help inspire Congress to act.

Medicare Advantage (Part C) plans and Part D prescription ... prior authorization, their doctor will typically take responsibility for submitting the request. A person may need to complete certain ...

“This lawsuit centered on a highly technical prescription dispensing record keeping issue that was allowed by law in many states. The dispensing practices referenced were limited to Omnicare, ended in ...

making it a good option for those who are looking for more than just medication therapy. How it works: You start with completing an eligibility quiz and a health intake form. If you’re a good ...

It’s common to be denied coverage for a prescription of Wegovy. However, you can take steps to appeal an insurance coverage denial. Prior authorization (PA) is a form certain insurance companies ...

Some insurance plans will require prior authorization to consider covering Ozempic. In this case, your healthcare provider must provide additional information to the insurance company explaining why ...