Tag: prior authorization

Insurer Pressure: How Providers Respond to Generic Drug Substitution Requirements

Insurer Pressure: How Providers Respond to Generic Drug Substitution Requirements

Insurers push generic drug substitution to cut costs, but providers face mounting administrative burdens and clinical risks. Learn how doctors respond to formulary rules, prior authorization, and state-level reforms-and why some switches can harm patients.

Prior Authorization Requirements for Medications Explained: What You Need to Know

Prior Authorization Requirements for Medications Explained: What You Need to Know

Prior authorization is a common insurance requirement for certain medications. Learn how it works, which drugs require it, how to avoid delays, and what to do if your request is denied.