Contraindicated drug pairs are uncommon in youth with Medicaid coverage filling combinations of behavioral and mental health (BMH) medications.

Prior authorization is a key tool for ensuring high-quality patient care, but it needs to be refined, Humana CEO Jim Rechtin ...

Federal law requires states to provide pregnancy-related Medicaid coverage through 60 days after delivery. Arkansas has not expanded what’s called postpartum Medicaid coverage, an option that gives ...

Automating and optimizing the prior authorization process with intelligent technology closes the AI adoption gap, delivers ...

Prescribing providers use this form to request pharmacy prior authorization for non-preferred phosphate binder agents. The prescriber or their staff faxes the form to the Medicaid-enrolled pharmacy, ...

Linking exemptions to evidence-based guidelines could improve the prior authorization process, according to Dr Parikh. He said most of what he submits for a peer-to-peer review has been documented in ...

Off-label prescribing is when a medication is prescribed for a purpose not approved by the FDA. Insurance might cover off-label prescriptions, but it depends on the specific plan and often requires a ...

Opens in a new tab or window Physicians frequently cite prior authorization requirements ... Medicare Advantage, and Medicaid plans, according to the company. Additionally, provider groups must ...

Sanofi‘s most advanced multiple sclerosis drug candidate failed to achieve the main goal of two late-stage trials to treat relapsing forms of the disease. However, the drug was able to succeed ...

Bayer AG’s kidney drug Kerendia helped patients avoid complications from a common form of heart failure in a study, a boost for the company’s pharma division as it looks to overcome multiple ...

The Food and Drug Administration (FDA) granted emergency use authorization for an updated version of the Novavax COVID-19 vaccine amid the summer surge of infections. The new version of the ...

There are now at least three accidental drug overdose deaths per week - often coming from people mixing different drugs. Illustration / Paul Slater A new report shows three Kiwis – and rising ...