Approval that a beneficiary must get from a Medicare drug plan before filling a prescription in order for the prescription to be covered by the plan. The beneficiary’s Medicare drug plan may require prior authorization for certain drugs.
Understanding prior authorization is crucial as it can affect access to necessary medical treatments and services. Patients need to be aware of whether prior authorization is required for specific procedures or medications to avoid unexpected denials or out-of-pocket expenses.
Learn more about the importance of prior authorization and how it impacts your healthcare coverage. Download our comprehensive guide to navigating prior authorization requirements and ensure you have access to the care you need when you need it.