Faster Access to Oral Medications: New Rules for Pharmacies and Insurers.
New regulations aim to speed up patient access to oral medications. Pharmacies will need to confirm medication availability faster, and insurers must ensure access to alternative sources if a pharmacy cannot dispense on time. This should improve the timely receipt of necessary medicines.
Key points
Pharmacies must confirm the ability to dispense oral medication within 24 hours and state if it will be available within 72 hours.
If a pharmacy cannot dispense within 72 hours, patients can choose an alternative pharmacy, and insurers must cover costs without extra hurdles.
Prior authorization decisions for medications must be made by insurers within 72 hours.
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