There are some specialty pharmacy medications that require what insurances call a “Prior Authorization.” This means your insurance requires additional clinical information from your doctor to see if you meet the criteria for them to cover your specialty medication or not. At SMP Pharmacy Solutions we will take care of the Prior Authorization process on behalf of your doctor. Our efforts include:
- Contacting your insurance
- Obtaining the correct prior authorization forms
- Contacting your current physician for permission
- Forwarding the prior authorization to your insurance along with any other clinical information they request.
We will then follow up with your insurance within 24-48 business hours to verify if the prior authorization has been approved. If anything else is missing to get your medication approved, we will obtain it from your doctor and forward it to the insurance as well, then follow up.
SMP Pharmacy Solutions will make all necessary efforts to get your prior authorization approved.