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Prior authorization requires the prescriber to receive pre-approval for prescribing a particular drug in order for that medication to qualify for coverage under the terms of the pharmacy benefit plan.
Yes. A pharmacist may use professional judgment and experience with common practice to make reasonable inferences of the patient's best interest in allowing a person, other that the patient, to pick up a prescription.
A prior authorization means the insurance company requires documentation from the prescriber showing why they are not prescribing a less expensive alternative medication. The process is as follows: The pharmacy receives the prescription and attempts to adjudicate it.
Give them your name and birthday, and tell them that you're calling to find out when you can pick up an electronic prescription that was sent in for you. Ask if they need any more information from you and to make sure they have your most current insurance information on file.