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Real Questions
4
Pharma

  • Pharma: Time to provide education and pricing to the clinicians where they need it most

  1. Why are you still struggling with clinical documentation shortfalls for new drugs?

  2. Why are you still struggling with medical necessity documentation from clinicians?

  3. Why is retail pharmacy still struggling with lack of prior authorization?

  4. Why is retail pharmacy still struggling with plan step protocol formularies?

  5. Why are you still struggling with clinicians obtaining prior auth needed for brand drugs?

  6. Why are you still struggling with clinicians obtaining prior auth for step protocol drugs?

  7. Why are you still not using tools for clinicians for compliance with indications for use.

  8. Why are you still not using digital tools for clinicians to understand exclusion criteria?

  9. Why are you still not using tools for clinicians to understand diagnosis specific use case?

  10. Why are you still not utilizing PBMs that do not automate the prior auth process?

  11. Why are you still not utilizing PBMs that provide cost transparency as in Florida’s EO?

  12. Why are you still allowing abandonment of care due to lack of prior auth?

  13. Why are you still providing only tracking drug prior auth & not using point of care tools?

How did you get here?

Don't Ask...

But you are here... fix it!

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