Aiken & North Augusta Endocrinology

Prior Authorization

If your insurance provider or pharmacy has informed you that a prior authorization is required for a medication, please contact us at 803-648-3130. Our staff will gladly initiate the prior authorization process for you.
How does a Prior Authorization Work?
When your healthcare provider prescribes a medication that requires a prior authorization from your insurance company, they submit detailed information about your medical condition, the medication prescribed, and why it’s necessary for your treatment to your insurance company. The insurance company then reviews this information to determine if they will cover the medication. This process usually takes some time, ranging from a few days to a few weeks, and in some cases, it may take up to a month. The timeframe varies depending on your insurance company’s policies and their speed in reviewing the request. Once the prior authorization is approved, you can then obtain the medication from your pharmacy. It’s important to understand that prior authorization doesn’t always guarantee approval, and there may be instances where your insurance company denies coverage for the medication. If this happens, our providers and staff can work with you to explore alternative options. Overall, the goal of prior authorization is to ensure that you receive safe and effective treatment while also managing healthcare costs. If you have any questions or concerns about prior authorizations or your medication coverage, don’t hesitate to reach out to your insurance company directly for further information.