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 ...

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 ...

Keep in mind that if Zepbound requires prior authorization but you start treatment without it, you could pay the full cost of the drug. Be sure to ask your insurance company whether Zepbound ...

Prior authorization is when a health care provider must receive approval from a health insurance plan before performing a service or prescribing medication. More than one in four physicians ― 29 ...

Click here for more stories. Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the bill Wednesday. Lawmakers said the bill is ...

Knowing the truth is important because prior authorization, a utilization-management tactic that insurers once reserved for extremely expensive intervention, is now employed for even the simplest ...

(Brandon Smith/IPB News) Legislation focused on prior authorization reforms is headed to the governor after Senate lawmakers approved changes to the bill Wednesday. Lawmakers said the bill is an ...