Biologics and Prior Authorization – A Healthcare Perfect Storm

Biologics and Prior Authorization – A Healthcare Perfect Storm

Physicians trying to prescribe a biologic for a patient often run into a pre authorization perfect storm: A patient excited about a new medication option, a payer less than enthusiastic about the cost of the medication, and clinical staffers frustrated with the prior authorization system. Indeed, in a June article in Practical Dermatology, Dr. Michael Sherling describes a 45-year-old man who suffers from psoriasis so severe he rarely goes out in warm weather. Various topical therapies have proven ineffective, so...