Get Authorization For Prescription Pick-up

The prior authorization process begins when a service prescribed by a patient's physician is not covered by their health insurance plan. Communication between the physician's office and the insurance company is necessary to handle the prior authorization.

Practically, the answer is, yes – your prescription may usually be picked up by someone else. But, that individual will likely need a few more things. If the doctor wrote a prescription, for example, the person picking up the drug will require the written prescription to have it filled at the pharmacy.

A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary. Sometimes called prior authorization, prior approval or precertification.

Prior authorization requires the prescriber to receive pre-approval for prescribing a particular drug in order for that medication to qualify for coverage under the terms of the pharmacy benefit plan.

Simply put, yes – In most cases, someone else can pick up your prescription. However, there are usually a few extra things that person will need. For example, if the doctor gave a written prescription, the person picking up the medication will need the written prescription in order to have it filled at the pharmacy.

Under medical and prescription drug plans, some treatments and medications may need approval from your health insurance carrier before you receive care. Prior authorization is usually required if you need a complex treatment or prescription. Coverage will not happen without it.

Can someone else pick up my prescription at Walmart? Yes, someone else can fill your prescription at Walmart. They just need your name, address, and date of birth to walk out with your drug.

What is prior authorization? This means we need to review some medications before your plan will cover them. We want to know if the medication is medically necessary and appropriate for your situation. If you don't get prior authorization, a medication may cost you more, or we may not cover it.