While national guidelines may indicate which medications should be prescribed in particular situations, how do you make sure that these medications get into the hands of your patients? Some potential barriers include:
formulary exclusions (a medication is not covered by an insurer)
non-medical switching (a health plan switches a clinician-prescribed therapy for another therapy for financial reasons)
requiring a prior authorization for the medication or service to be approved by insurance.
This tool includes best practices for clinicians to help patients access medications, a list of helpful resources to access medication, and tips for medication adherence once your patients get the medications they need.
