Electronic Prior Authorization – Spend less time on PAs, more time on patients

Did you know that around half the prior authorizations we receive each month are electronic and growing fast? It may be time for you to make the switch to electronic prior authorization (ePA). Here’s why:

  • Faster to send and get reviews
  • Easier to use for prescribers, nurses and office staff
  • Works for any prescription drug and any pharmacy
  • Keeps all your ePA documentation and requests in one place

Watch this brief video about switching to ePA today

Two easy ways to start using ePA:

1. Enable ePA in your Electronic Health Record System

If you ePrescribe regularly, using your Electronic Health Record (EHR) is the fastest way to complete an ePA. Contact your office manager, medical director or EHR vendor to make sure you have the latest version with ePA.

2. Use any of these FREE online services:

ExpressPAth

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ExpressPAth lets you manage prescription drug ePAs for patients with Express Scripts pharmacy benefits. You can also manage medical PAs if your patient’s health plan is part of Care Continuum1. Note: Express Path is not available for TRICARE beneficiaries.

“I have come to really like ExpressPAth and I now use it for all of our Express Scripts patients. I prefer it over other ePA options because it is very simple and I seem to receive a decision on the prior authorization much quicker.”
- RN at a rheumatology practice in Macon, GA

Cover my meds

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More than 700,000 providers choose CoverMyMeds as their ePA solution. It’s a one-stop shop that works for all medications and all payers. It’s also the preferred solution for submitting ePAs for TRICARE beneficiaries. Learn more about the state of ePA in the industry and its impact to patients and providers here.

“We have been using [ePAs] since they first became available and find them very easy, helpful, accurate and fast. I would strongly recommend using CoverMyMeds. We especially like their archive feature which makes reauthorizations an easy process.”
- RN at a neurology practice in Santa Barbara, CA

Surescripts

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Connect to all PBMs and payers with Surescripts' ePA. It’s easy to submit ePA requests and can save you valuable time if you haven’t fully integrated ePA into your EHR workflow.

“Using ePA has been great! They take much less time to do and I can do a few at a time and it doesn’t take me more than a few minutes.”
- MA at a dermatology practice in Hudson, OH

ePA FAQs

Download answers to some commonly asked questions about ePA.

More resources

Get more information about ePA including:

  • State-specific physician forms
  • Downloadable list of drugs with a PA requirement
  • Details on submitting ePAs for Medicare prescription plans


Click here for Physician Resources for Medicare Plan Members

 

Disclaimers

1 If medical ePA is available through ExpressPAth, “Care Continuum” appears on the patient’s health plan ID card.