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There are some frustrations certain pharmacists deal with in their practice settings that others hardly ever encounter at all. For the community or health-system pharmacist or pharmacy technician, one such headache is prior authorization (PA).
A pre-authorization is a restriction placed on certain medications, tests, or health services by your insurance company that requires your doctor to first check and be granted permission before your plan will cover the item.
\u200b\u200b\u200b\u200b\u200b\u200b\u200b\u200b\u200b\u200b\u200bIt is the goal of the West Virginia Medicaid Program to improve the quality of care and health outcomes for West Virginia Medicaid members by assuring that the medications prescribed for them are appropriate, medically necessary, and not likely to result in adverse medical effects.
No pre-authorization is required for outpatient emergency services as well as Post-stabilization Care Services (services that the treating physician views as medically necessary after the emergency medical condition has been stabilized to maintain the patient's stabilized condition) provided in any Emergency Department ...
Prior authorization is used to help plan providers ensure that their members are not being prescribed the most costly medication, until less expensive alternatives have been pursued. This "cost check" helps keep overall plan costs down and allows employers to continue offering drug benefits.
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Rational prescribing aims to ensure that selection is not a simple formulaic linkage of drugs and doses to particular diagnoses, but involves individualising prescriptions as far as possible, taking account of the variables discussed above.
The procedure for Rational Drug prescription comprises 6 steps: Step 1: Determining the patient's problem. Step 2: Determining the object of the treatment. Step 3: Verification of the suitability of the P-treatment for the specific patient. Step 4: Onset of treatment. Step 5: Information, instructions and precautions.
A rational formulation strategy can reduce the development time cycle and increase the chance of success moving a new drug through the different preclinical and clinical phases. This paper presents a scientific based approach to select the best formulation technology as early as preclinical or FIH phase.
Irrational prescribing refers to prescribing that fails to conform to good standards of treatment [10]. This may manifest in five different ways, namely: under-prescribing, over-prescribing, incorrect prescribing, extravagant prescribing, and multiple prescribing.
The definition Rational drug therapy is the use of drugs, which are efficient, safe, low-cost and easy to administer. It requires that health practitioners have adequate medical knowledge and appropriate skill for correct diagnosis and treatment.

wv medicaid prior authorization form