What is the process for prior authorization?

The prior authorization process typically involves your doctor submitting a request to Express Scripts for approval of a specific medication or treatment. This request will be reviewed by a team of pharmacists and medical professionals to determine if the requested medication is medically necessary and appropriate. Once a decision is made, you and your doctor will be notified of the outcome. It's important to follow the specific instructions provided by Express Scripts regarding documentation and timelines in order to ensure a smooth approval process. If you have any questions or concerns about the prior authorization process, you can contact Express Scripts for assistance.