Prior authorization services: Helping patients get access to the medications they need while reducing administrative hassles for your practice.
Prior authorizations are very common in the world of specialty pharmacy, since these drugs may be higher cost than other medications you prescribe. This means that many drugs will require prior authorizations from insurance carriers. Fortunately, Avella can offer support for the process involved in securing prior authorizations for referrals we service for your patients, easing this burden so that you and your staff can focus on providing quality care.
We have an entire pharmacist-led team dedicated to managing this process. These individuals have the training and specialized knowledge needed to request the right information from you and your staff. Then we can help you work with the insurance company. This reduces “phone tag” between the carrier and your practice, allowing your staff to focus on other important issues.
Avella’s highly-trained Prior Authorization team members also have the knowledge necessary to fill out this paperwork accurately and quickly. This helps ensure your patients can receive rapid access to the drugs that you prescribe.
If the patient can’t afford the cost of their medication, even with drug coverage from their insurance company, we can also find out whether they qualify for financial assistance programs from drug manufacturers and non-profits. We will even manage this process simultaneously as we seek approval from their insurance company.
Pediatric Transplant Coordinator, Rainbow Babies and Children's Hospital