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Prior Authorization

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Updated April 28, 2014

Definition:

Prior authorization is a requirement that your physician obtain approval from your health plan to prescribe a specific medication for you. Without this prior approval, your health plan may not provide coverage, or pay for, your medication.

Also Known As: Drug PA
Examples:

Many health plans require prior authorization for very expensive medications such as Lamisil (terbinafine) tablets, an expensive medication used to treat toenail fungus.

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