Independence, in partnership with FutureScripts?, our independent
pharmacy benefits manager, is pleased to announce a new electronic capability
for providers to submit prior authorization requests for members with an
Independence prescription drug benefit.
How ePA works
We recently implemented an electronic prior authorization (ePA) platform
that enables providers to receive real-time prior authorization decisions based
on an algorithm created for approximately 100 of the most-requested medications
from all drug classes that require prior authorization under an Independence
formulary. This makes up over 70 percent of the total prior authorizations
submitted by providers for medications.
When submitting an ePA, providers will be prompted to answer a set of
questions. If the medication is one of the approximately 100 included in the
algorithm, then a series of questions specific to that medication will follow,
and an approval may be automatically generated as clinically appropriate.
However, if an ePA cannot be auto-approved, the ePA will be sent to
FutureScripts for further review. All decision notifications, however, are
available through ePA.
Note: The list of medications and related questions will be refreshed
annually and in accordance with Independence?s changes to prior authorization
requirements to ensure the most relevant and up to date information is
available.
ePA is available through the following third-party, independent
companies:
We encourage you to review the websites for these vendors to learn more
about the ePA process and capabilities. Each vendor allows you to create an
account at no cost. Simply register on the front page of either vendor?s portal
to begin the process of submitting ePAs.
If you have any questions about registering or using the portal, call
CoverMyMeds at 1-866-452-5017 or SureScripts at 1-866-797-3239.
If you have any questions about ePA, call FutureScripts at
1-888-678-7012.
FutureScripts is an independent company that provides
pharmacy benefits management services.