Understanding Prior Authorization

Dr. Tran’s Office Policy Regarding Medication Prior Authorization.

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The pitfalls of prior authorization for prescription drugs
Physician frustration with prior authorizations only grows
Survey quantifies time burdens of prior authorization

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Consumer Affairs: CVS Pharmacy Reviews
Consumer Affairs: Express Scripts Reviews
Consumer Affairs: OptumRx Reviews

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Secret deals may mean consumers pay more for drugs
Info: "Anthem, discovered what it said were $3 billion in overcharges by Express Scripts and filed suit Monday against the PBM for damages."

Understanding Your Drug Costs: Follow the Pill
YouTube: Video explaining PBM and Medication costs.

Pharmaceutical Benefit Manager (PBM) Games
YouTube: How PBM makes money at Insurance and Patient's expenses.

Pharmacy Benefits Managers (PBM) 101
YouTube: Explain what is PBM

PBM Drug Rebates.
YouTube:  Explain PBM Drug Rebates from Pharmaceutical companies

Mail Order Pharmacy.
YouTube: Explain PBM monopoly

One physician’s creative response to bureaucratic frustration

Watch an Insurance Prior Authorization Phone Call

Rx Rip-off: OptumRx, UnitedHealthcare, Cigna, and Catamaran Inflate Prescription Copays

You’re Overpaying for Drugs and Your Pharmacist Can’t Tell You