Question

If a 3rd party payor demands the completion of an prior authorization process other than the "Louisiana Uniform Prescription Drug Prior Authorization Form" then what should the pharmacy or prescriber do?

Answer 1

If a 3rd party payor demands the completion of a prior authorization process other than the 'Louisiana Uniform Prescription Drug Prior Authorization Form,' the pharmacy or prescriber should follow the guidelines provided by the specific payor.

Step-by-step explanation:

If a 3rd party payor demands the completion of a prior authorization process other than the "Louisiana Uniform Prescription Drug Prior Authorization Form," the pharmacy or prescriber should follow the guidelines provided by the specific payor. It is important to communicate with the payor to understand their requirements and ensure all necessary documentation is submitted. Here are the steps to follow:

1. Contact the 3rd party payor to obtain the required prior authorization forms or guidelines.
2. Review the requirements carefully and gather all necessary documentation, including medical records and supporting evidence.
3. Complete the prior authorization form accurately and provide all requested information.
4. Submit the form and supporting documents according to the payor's instructions, which may include faxing, mailing, or submitting electronically.
5. Follow up with the payor to confirm receipt and monitor the status of the prior authorization request.

By following these steps, the pharmacy or prescriber can comply with the 3rd party payor's requirements and increase the chances of obtaining the necessary prior authorization for the prescribed medication.