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What is a Prior Authorization for medication?

A prior authorization (PA) is a health insurance company's requirement that a doctor get approval before a patient can receive a specific medication or treatment. It's also known as preauthorization or precertification. A PA doesn't guarantee that the health insurance company will cover the cost of the medication. To obtain a PA, a doctor typically completes a form that explains to the insurance company why the medication is medically necessary. PAs are necessary to ensure that patients receive the right healthcare for them.

Found in: Prescription | View All FAQs

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