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New! Electronic prior authorization now available for providers

August 31, 2018

Independence, in partnership with FutureScripts?, our independent pharmacy benefits manager, is pleased to announce a new electronic capability for providers to submit prior authorization requests for members with an Independence prescription drug benefit.

How ePA works

We recently implemented an electronic prior authorization (ePA) platform that enables providers to receive real-time prior authorization decisions based on an algorithm created for approximately 100 of the most-requested medications from all drug classes that require prior authorization under an Independence formulary. This makes up over 70 percent of the total prior authorizations submitted by providers for medications.

When submitting an ePA, providers will be prompted to answer a set of questions. If the medication is one of the approximately 100 included in the algorithm, then a series of questions specific to that medication will follow, and an approval may be automatically generated as clinically appropriate. However, if an ePA cannot be auto-approved, the ePA will be sent to FutureScripts for further review. All decision notifications, however, are available through ePA.

Note: The list of medications and related questions will be refreshed annually and in accordance with Independence?s changes to prior authorization requirements to ensure the most relevant and up to date information is available.

ePA is available through the following third-party, independent companies:

We encourage you to review the websites for these vendors to learn more about the ePA process and capabilities. Each vendor allows you to create an account at no cost. Simply register on the front page of either vendor?s portal to begin the process of submitting ePAs.

If you have any questions about registering or using the portal, call CoverMyMeds at 1-866-452-5017 or SureScripts at 1-866-797-3239. If you have any questions about ePA, call FutureScripts at 1-888-678-7012.

FutureScripts is an independent company that provides pharmacy benefits management services.


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