Prior Authorization
Updated June 10, 2015.
Definition: Prior authorization is a requirement that your physician obtain approval from your health plan to prescribe a specific medication for you. Without this prior approval, your health plan may not provide coverage, or pay for, your medication.
Also Known As: Drug PA
Examples: Many health plans require prior authorization for very expensive medications such as Lamisil (terbinafine) tablets, an expensive medication used to treatr toenail fungus.
Definition: Prior authorization is a requirement that your physician obtain approval from your health plan to prescribe a specific medication for you. Without this prior approval, your health plan may not provide coverage, or pay for, your medication.
Also Known As: Drug PA
Examples: Many health plans require prior authorization for very expensive medications such as Lamisil (terbinafine) tablets, an expensive medication used to treatr toenail fungus.
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