The pharmacist explained that the drugs need to be authorized and that I might have to pay full price - what does this mean
I went to the pharmacy to fill my loved one's prescriptions upon release from the hospital, but the pharmacist explained that the drugs need to be authorized and that I might have to pay full price - what does this mean, and what should I do?
Some medications are subject to prior authorization as established by one's insurance plan. These medications require verification by the physician who prescribed the medication that the patient meets prior authorization criteria, and then an authorization from the benefit plan before the medication may be dispensed. You should contact your insurance plan for a list of drugs requiring prior authorization. You or your physician may also appeal a denial of a drug or a quantity limitation by contacting your insurance plan.
