I apologize if this post doesn't apply to community rules. If not, I will remove.
I am curious to hear how burdensome insurance eligibility and denials are for those in the medical community. Specifically coverage for prescription drugs. As a pharmacist, it is frustrating to see loads of prescriptions not being covered or just too expensive to the point the patient won't take it. Do those who prescribe experience a lot of issues with prior authorizations, having patients contact the office saying something is too expensive, or finding alternative medications when not covered? Do you have any reliable resources to know prior to prescribing if something is covered and for how much? Is it easy to use? I know there are some 'real-time benefit checks' out now, but not sure how well they work.
I am developing a platform that will present this information at the point of care. One where you can search a medication, run a claim, and receive a price/PA message as well as pricing for alternatives. Would greatly appreciate any feedback. Again, if this post isn't appropriate I will remove it. Thank you.
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