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CVS Caremark to Pilot Electronic Prior Authorization to Help Speed Patient Access to Prescription Medication
Date:5/16/2011

WOONSOCKET, R.I., May 16, 2011 /PRNewswire/ -- Obtaining prior authorization for prescription medications is a time-consuming process for prescribers, patients and pharmacists that currently requires phone calls, faxes and hard-copy request forms. While some on-line solutions are available, they do not provide both a real-time solution and one that is integrated with available e-prescribing or electronic health record (EHR) tools.  Recognizing this gap in the marketplace, CVS Caremark (NYSE: CVS) announced today that the company will be launching a pilot of a real-time, integrated electronic prior authorization (ePA) capability, available to CVS Caremark Pharmacy Benefit Management (PBM) clients to help improve the patient experience and speed access to prescription medications. A successful pilot would represent a significant first step toward the development of a technical standard the industry could use to achieve broad adoption of ePA.

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The CVS Caremark ePA pilot aims to enable prescribers that use a variety of available e-prescribing and EHR tools to coordinate a real-time ePA request when initiating a prescription for a patient. Prescribers will also have the option to access the process through a client portal.  The prescriber will be able to send an ePA request detailing the coverage criteria related to a prior authorization request and receive a real-time status update regarding an approval for the medication. Requests that are denied will be communicated following manual review by clinical staff.  

"CVS Caremark understands the opportunities that innovations such as electronic prior authorization provide to prescribers and patients looking to embrace a more efficient and effective way to share critical prescribing information," said Troyen A. Brennan, M.D., M.P.H., chief medic
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SOURCE CVS Caremark
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