Patients come to me for help, but I am shut down by the prior authorization system routinely. I cannot recall a single antibiotic that has been approved without PA except for Bactrim in the past 3 months. Imagine, a urologist is not allowed to prescribe for immediate treatment of UTIs. I get less hassle for CT scans actually. The whole PA program is a farce anyway. All they do is ask me if I really need the medicine and did I try another. If they have another suggestion it should be made automatically and I should have the ability to bypass it. They even reject antibiotics that are free at local pharmacies. It is absurd and wasteful and harmful.

First Name: 
Dr. Richard
Last Name: 
L.
State: 
State
E-mail address: 
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Have you ever gone to the pharmacy to fill a prescription only to be told that your insurance company requires approval before they'll cover your treatment? Have you ever waited for days, weeks, or months for a test or medical procedure to be scheduled because authorization from an insurer? Or are you a physician frustrated with the administrative headaches and their impact on your patient?

Prior authorization is a burden on patients and physicians alike. The process is confusing, time consuming, and — most importantly — can cause delays in patients receiving the care they need.

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