I don't know how my primary care and medical colleagues deal with this and stay sane, but prior auths are the tool of Satan. If I had to do them more than occasionally, I would likely be reduced to a gibbering pool of mush.
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I was told there was a MA attorney general investigation unnecessary burden of PAs, so if it is a stupid one, an inexpensive generic FDA-approved for condition, I usually threaten the company with sending this anonymized case example to the AG.
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And if there is urgent risk, I will write that on the PA. ‘This patient just left the hospital stabilized on this med and has a history of stabbing a family member when unmedicated. Your denial of this medication could cause serious harm and could possibly make the news.’
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Heheh. Fortunately for me, my specialty doesn't involve caring for patients of whom I could ever truthfully say something like that.
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