Three drugs that often require prior authorization are Epidiolex, Esbriet, and Evenity.
Prior authorization is a process initiated by health plans that requires approval before certain medications can be covered. This step is typically implemented for high-cost, specialty, or specific high-risk medications to ensure their appropriate use, meet clinical criteria, and manage overall healthcare costs.
A variety of medications are subject to this requirement to promote patient safety and ensure effective treatment. Below are examples of drugs that may necessitate prior authorization:
| Drug Name | Prior Authorization Category |
|---|---|
| Epidiolex | Epidiolex |
| Esbriet | Esbriet |
| Evenity | Evenity |
These medications, among others, undergo a review process by the health plan to confirm medical necessity and adherence to established guidelines before they can be dispensed and covered.
