As soon as we receive the referral via fax, Escribe, or verbal authorization, our staff will process that prescription. We will also do an instantaneous online insurance verification and coordination of benefits to decrease your office load and increase access to medications. A follow up call to your office to explain the patients insurance coverage will then take place if need be. Then we call your patient to explain their insurance coverage, re-teaching of medication and disease state, and answer any questions. We set up free medication delivery to the patient’s home or to your office with in 24 hours or less from the time you requested the medication. 

Once we verify your patients insurance online and we learn that a prior authorization (PA) is required our pharmacy will contact you right away (less than 3 hours) via fax or phone call. When allowed by the insurance company we will initiate and manage the PA process for you. We have a built in interface system that will send your office the exact PA form that is required for your patient. Our system will pick out exact form based on the patient’s insurance, drug needed and type of authorization needed, including getting the appropriate forms that need to be submitted. We will fill out as much as the forms demographics and clinical information that we have available before we fax it back to your office. We will also give you the 800-phone number for the PA line in case your office is required to contact the patients insurance company directly. Once the PA form is filled out and signed your office either fax the forms to the insurance company or to our pharmacy. The insurance company should contact your office within 48 hours of receiving the completed PA form to inform you if your patient’s medication has been approved, denied, or if they need more information. 

We will inform your office when a pre authorization is needed, we will send you the appropriate form. We will also call your office if we do not hear from you within the stated approval time frame. So, for example if your office initiated a pre authorization for X Insurance on Monday, if we do not hear from your office by Thursday, we will follow up with you. 

Yes you can definitely process the PA yourself. We will provide as much support as you need to make your and your office’s job easier. We just ask that you please forward us the prescription so that together we can achieve optimal patient care. 

During pharmacy hours please call 1-844-295-8203 and a live pharmacy staff member will always answer the phone and should be able to help you, or you can ask to leave a message for the pharmacist. After pharmacy hours please call 1-844-295-8203 and leave a message. One of our pharmacists will call you back to help you. You can also use our contact us tab and email our pharmacy staff, and one of our pharmacists will call you back. We will return emergent calls in one hour and non-emergent calls within 24 hours. 

Please call1-844-295-8203 and request to speak with the head pharmacist or pharmacist in charge. They will listen to your situation and work on a quick and effective way to fix the situation. Please fill out our complaint form.