I have one dedicated staff member who has primary responsibility for all prior authorizations. From an 8-hour work day she dedicates 6 of them to prior authorizations. This is uncompensated care. Written prior authorizations most recently have increased in the number of pages that have to be filled out. We actually have prior authorizations pending with a total of 119 pages. Valuable time is spent away from patient care. What is most obnoxious is that there is no medical rationale in demanding the prior authorization…Frequently, there is no point of contact that can make a medical decision on the other end of the phone…Standard of care is affected by this entire egregious process…I could go on, but at this point it feels like a no-win situation where you are forced to submit to the demands of the pharmacy benefit manager.