Prior Authorizations (PA)
Your health insurance company may require you to submit a prior authorization form to process your medication(s) through insurance. It gives your health insurance an opportunity to confirm if your treatment plan is medically necessary. Our PA team and providers usually initiate PA from your insurance company for you but it is your responsibility to verify with your insurance company what medications are covered under your plan.
Prior authorization does not guarantee that your health insurance company will cover the cost of your medications. If your PA is denied, you may need to pay out of pocket or work with your provider to find alternative medication(s) that are covered by your insurance. We encourage you to call your insurance before your appointment to confirm the list of covered medications. Please note that the prior authorization process is subject to a 1-7 business day processing time depending on your health insurance.
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