When the user enters a drug into the text box and clicks search, the system searches the current formulary first (brand and generic names). If a match is found for a particular medication, the salt ...

Drugs were left out of a 2024 rule streamlining prior authorizations, including by making decisions electronic and requiring payers to turn them around more quickly. The Trump administration is ...

Prior authorization forces doctors to spend 13 hours a week fighting insurers. New federal rules are changing that. Here's what you need to know.

The ASTP/ONC has certified tools that “will enable prescribers to compare drug prices in real time during care encounters,” according to the HHS. The US Department of Health and Human Services (HHS) ...

Successful formulary system management can help ACOs achieve high quality, low cost objectives across the care continuum. This article targets healthcare leaders choosing to participate in the ...