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How to help patients with prior authorization

The Checkup by Singlecare

Many patients arrive at the pharmacy ready to pick up their medication only to find out their prescription needs prior authorization , which can lead to frustration and confusion. Insurance companies use prior authorization to manage costs and ensure a procedure or medication is safe and appropriate for a patient.

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Prescribing Success: Dr. Linda Gutierrez-Miller’s Journey to Impactful Clinical Pharmacy and Inspiring Resilience!

Pharmacy Is Right For Me

Versatility in Pharmacy Clinical pharmacists occupy a distinctive position, often granted patient care privileges that allow them to engage in comprehensive medication decision-making functions as integral members of the healthcare team. ¹

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New Year’s Resolutions Trends: What Doctors Resolve To Do

Board Vitals - Pharmacist

Under the guise of a new year’s resolution, some clinicians take the opportunity to remind influencers and stakeholders of efforts that need to be redoubled for the benefit of patients and patient care. It includes ensuring that office functions like scheduling are streamlined to make it easy for patients to get in the door.

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CDC Emphasizes Opioid Guideline is Voluntary and Should Support, Not Supplant, Patient Care

The FDA Law Blog

In addition, the guideline has been misapplied to cancer and palliative care patients, and there have been rapid opioid tapers without patient collaboration, rigid application of opioid dosage thresholds, application of opioid use for pain to opioid use disorder treatment, insurer and pharmacy duration limits, patient dismissals and abandonment.

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How Pharmacists Can Use Artificial Intelligence To Advance Their Practice: Insights From ChatGPT

IDStewardship

Streamlined Prescription Filling : AI systems can automate prescription filling processes by extracting relevant information from electronic prescriptions, verifying insurance coverage, and generating labels. This reduces manual errors, saves time, and allows pharmacists to focus on patient care.

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Leveraging Technology to Optimize Medication Therapy Management (MTM) Services

Digital Pharmacist

Eligibility for MTM services can vary depending on the pharmacy and the specific requirements set by the pharmacy or the payer (such as Medicare or private insurance). Insurance Coverage: Some private insurance plans may offer MTM services to their members, and eligibility criteria may vary among insurance providers.

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The Evolution of Patient Needs: How Independent Pharmacies Can Grow & Adapt

Digital Pharmacist

To stay competitive, it is key for independent pharmacies to adapt to changing patient needs by leveraging technology and providing elevated patient care beyond their medication needs. Regional pharmacies, such as Rite Aid and Kroger, also have a strong presence and can leverage their brand recognition and community ties.