On my HMO plan, I was lead to believe they use Express Scripts. My Endocrinologist ... after getting the new prescription because of prior authorization issues. Dr sent the prescription in on ...

The rebate game played by drug makers and pharmacy benefit managers limits optimal biosimilar competition. As a result, U.S.

There is a tendency to overlook the multiple factors and stakeholders that contributed to the Rx opioid crisis. This includes ...

You may also need pre-approval, or prior authorization, for coverage of certain care. Prior authorization is a review of a requested health care service by your regional contractor to see if ...

And the majority of physicians said prior authorization processes and forms were difficult to understand, and 58% said they did not have enough staff to handle authorizations.

If additional testing is needed, the student will receive another form to complete. Insurance and Treatment Authorization Form All students are expected to carry health insurance through family ...

Physicians say the trends with insurers’ prior authorization requirements are escalating demands for time from doctors and ...

Cigna's Express Scripts filed a lawsuit Tuesday challenging a federal report that places the blame for rising drug prices on ...

Express Scripts, one of the country’s largest pharmacy benefit managers, sued the Federal Trade Commission (FTC) Tuesday and ...

The most familiar example is prior authorization, a process through which health plans verify a procedure, prescription or other clinical service will be covered by the patient's health plan ...

Niskayuna resident John Cococcia has spent most of his career in venture capital. Now, he's made the move to the other side ...