Get Download Step Therapy Request Form - - EnvisionRxPlus

Prior authorization (also called “preauthorization” and “precertification”) refers to a requirement by health plans for patients to obtain approval of a health care service or medication before the care is provided. This allows the plan to evaluate whether care is medically necessary and otherwise covered.

The prior authorization process begins when a service prescribed by a patient's physician is not covered by their health insurance plan. Communication between the physician's office and the insurance company is necessary to handle the prior authorization.

What is prior authorization? This means we need to review some medications before your plan will cover them. We want to know if the medication is medically necessary and appropriate for your situation. If you don't get prior authorization, a medication may cost you more, or we may not cover it.

Elixir Insurance is a Prescription Drug Plan with a Medicare contract. Enrollment in Elixir Insurance depends on contract renewal. If you qualify for Extra Help, you get help paying for any Medicare drug plan's monthly premium, yearly deductible, and prescription coinsurance.

An EnvisionRx prior authorization form is a document used by a physician when seeking approval for a patient's prescription.

The two PBMs came together in 2014 and then became a wholly owned subsidiary of Rite Aid Corporation—one of the nation's leading drug store chains—in 2015.

Step therapy is a program that requires patients to try a lower cost prescription drug that treats a given condition before “stepping up” to a similar-acting, but more expensive drug.

Typically, within 5-10 business days of receiving the prior authorization request, your insurance company will either: Approve your request. Deny your request.