We offer pharmacy integration with Rxepa under our specialty medication prior authorization services. Which will collect data, review insurance guidelines and work with the prescriber to obtain clinical information needed for prior authorization submission.
Specialty medications are used to treat specific chronic conditions. Specialty medications are costly to pharmacy benefit plans. Most specialty medications require prior authorization (PA) before they can be covered by the plan. In specialty medication requirement of prior authorization is higher as compared to generic alternatives. Our exclusive prior authorization service for specialty medication, provided by seasoned experts, guarantees a smooth approval process. Backed by a committed team and efficient protocols, we accelerate authorizations, reducing wait times and guaranteeing prompt access to essential medications. Harnessing our deep industry knowledge and advanced technological tools, our service optimizes efficiency, precision, and patient contentment, thereby advancing overall health outcomes.
This way, your patients will get prescriptions faster, and you can, in turn, get paid just as quickly with a smile on the Patient’s face.
By getting customized ePA solutions pharmacies, and their staff can free up your pharmacists, who can handle more patients. We have an expert team offering prescription prior authorization approval assistance. It would validate the eligibility and formulary cross-check before submission, ensuring that all necessary information is included and meets insurer requirements. It assures quick and accurate outcome that improves pharmacy revenue and patient satisfaction.
We will also monitor the status of these requests and communicate the updates to the patients. In case of a payer denial, we will directly communicate with the prescriber’s office and insurance companies to help with appeals or alternatives.
Manual prior authorization processes can cause significant delays, leading to up to 30% of patients missing their prescriptions on time. This affects patient health and increases overall healthcare expenditure due to repeated visits to pharmacies, and physicians. Moreover, these inefficiencies can also lead to medication abandonment.
Our RxEPA’s service involves reaching out to prescribing physicians on behalf of pharmacies and working with their staff to speed up the prior authorization for medicines. This eliminates the need for pharmacies to get involved in the approval process, acting as one of the effective pharmacy workflow solutions.
Custom ePA solutions tailored for pharmacies streamline operations, reducing the time your pharmacists spend on manual processes and allowing them to focus more on patient care. Our integrated prescription management and medication authorization services result in pharmacy workflow optimization. It improves the overall productivity of pharmacies and medication access for patients.
Join our widely growing network and transform your pharmacy’s operations. Our team is here to help you with every step of the PA claim processing, ensuring you can provide the best care to your patients while optimizing your workflow.