One of the daily frustrations of physicians is dealing with “prior authorizations”. When I write a prescription for a medication for my patient, it generally means my patient needs that medication. In an effort to hold down costs, prescription services and Medicaid require prior authorization for some medications; they want justification for using this particular drug rather than one on their “preferred” list. This process may involve a long telephone call, printing out a form and filling it out by hand, or sometimes just submitting it via internet. In private practice, this may take up a couple of hours a day for the busy office nurse. At LSUHSC, the physician must deal with this.
At the link is the text of the full letter from a colleague to Express Scripts: