Tag: prior authorization

Biosimilars Insurance Coverage: Prior Authorization and Tiers Explained in 2026

Biosimilars Insurance Coverage: Prior Authorization and Tiers Explained in 2026

Understanding how insurance covers biosimilars in 2026. Learn about prior authorization hurdles, tier placement strategies, and why patients face high costs despite lower drug prices. Current data shows Medicare Part D plans often treat biosimilars and brand-name biologics identically, limiting savings. Recent shifts by PBMs are changing coverage rules, but challenges remain for patients and providers.

Feb, 5 2026

Insurance Prior Authorization for Generic Alternatives: How Pharmacists Navigate Coverage Policies

Insurance Prior Authorization for Generic Alternatives: How Pharmacists Navigate Coverage Policies

Prior authorization for generic alternatives is a common insurance hurdle for pharmacists. Learn how the process works, why denials happen, and practical strategies to speed up approvals and reduce patient frustration.

Dec, 11 2025

Medication Costs: How Coupons, Generics, and Prior Authorizations Affect Your Out-of-Pocket Expenses

Medication Costs: How Coupons, Generics, and Prior Authorizations Affect Your Out-of-Pocket Expenses

Learn how coupons, generic drugs, and prior authorizations impact your prescription costs in 2025. Discover real ways to save money on medications under the new Medicare rules and state-level reforms.

Dec, 8 2025