We treat severe asthmatics, Primary Immune Immunodeficiency and a rare genetic disorder, HAE. All of the medications for these patients require hours of prior authorization work. I have a full time physician assistant who spends 40-50% of her time addressing these. Beyond these requests we now are required to spend time preapproving commonly prescribed and inexpensive medications for almost every patient we see. We are also seeing prior authorization requests on common procedures which does not allow us to complete needed treatment at the time of the visit. This nonsensical waste of time has got to stop!