Level Up
Region: US
Tuesday 17 February 2026 01:17:37 GMT
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ApotheKari :
Don't forget the part where neither the MD office or the insurance company tell the pharmacy when the med is approved or denied leaving us completely in the dark 🤦♀️
2026-02-17 14:50:24
1276
the mad dadder :
Keep in mind that the doctor and the pharmacy are your advocates and want you to have the medication. Your insurance is the one causing delays and redundancy
2026-02-19 12:40:20
630
Stefani :
I tell patients pa’s are between the doctor and insurance, we as pharmacy are the middleman and have nothing to do with it
2026-02-17 02:10:43
720
aprilm :
PHARMACY DOES NOT NEED TO SUBMIT OR SEND THE PA NOTIFICATION TO THE OFFICE!!!! The office can start that BEFORE it even gets sent TO the pharmacy. WHEN have you ever seen a paid claim for a new start Wegovy or Zepbound?!
2026-02-18 04:44:01
168
Nikiann007 :
Hardly any providers do PA’s. The medical assistant or their nursing staff do.
2026-02-18 02:39:30
60
adamx1004 :
I wish patient’s would understand this. I work in Endo and Diabetes and am tired of being yelled at because insurance rejected their weight loss drug. Call them. Not me.
2026-03-21 20:25:34
8
Shortney :
I love getting BUT HE SENT THE SCRIPT IN. Yes. I received the prescription but your insurance wants more information from the doctor.
2026-02-17 11:45:50
120
jazzichk :
If a doctor deems it medically necessary for the health of the patients, insurance should pay for it. FULL STOP!!! I work in Endocrinology and I should NEVER have to do a PA for insulin or diabetic testing supplies
2026-02-19 05:23:53
66
Alanna Marie :
prior authorizations are fucking stupid in my opinion, unless it's for like a crazy drug or something seriously expensive. I work for an insurance company and i feel sooo bad for the members that have to go through all of these obstacles just to get their meds
2026-02-20 04:29:34
67
This lady here :
I just tell the patient “Your insurance wants to talk to the Dr before they decide to pay for it” if I tell them all this their eyes glaze over 😭
2026-03-12 03:59:50
7
Dust 🔜 DenFur :
At the pharmacy we can process the PA and get it sent to the prescriber in like 5 minutes, tops. after that, it's out of our hands.
2026-02-17 04:53:25
45
ambera1992 :
From doctors office side- we now tell them to call their insurance if they haven’t heard in a week, not us, we have done our part, you can do the part. Especially when you call the patient and all the sudden the patient says ‘oh actually I’ve used these’, and we have to hope the provider can addend the note.
2026-02-18 07:38:20
25
Miriam :
Stop blaming us 😡 sometimes we have to submit like 5 appeals
2026-03-13 21:26:15
17
Kathleen VonBank :
This is my job. I’m always just waiting on insurance’s response
2026-02-17 01:59:51
50
Bibi :
I just say, "Your insurance wants your doctor to explain why it's medically necessary to have this medication"
2026-02-19 21:07:42
10
Pumpkinsoup :
funny, ill explain this and the patients are still like "I dont understand" like okay. pa wants your doctor to tell them why you need it so they'll cover it..."in confused" 😂
2026-02-17 17:14:04
14
💋 :
No because the think that standing at my drop window waiting the PA gonna go thru on the spot 😑
2026-02-17 17:15:23
13
Ericka :
The way I wish I could play this on a loop at my pharmacy 😂
2026-02-18 03:08:41
5
Bmagennis :
They need to get a grip on the insurance companies. They have gotten out of hand. I know the insurance wants all their executives to have palatial mansions and chauffeurs increasing payments.
2026-02-17 14:21:41
5
Nerdalicious314 :
it's actually just the insurance company. just let the doctor send the script and have the pharmacy fill it 😭
2026-02-17 03:18:12
10
Thefishdot :
I always mention, to keep it simple. “I can fill it but it’s expensive, the insurance won’t pay for it until the doctor convinces them”
2026-02-17 16:20:17
5
Ethan the Pharmacist :
this is in the USA right? What about refills? Do they have to do this every single time or just the first time?
2026-02-18 01:38:53
4
smalldosesofelle :
I want this video to play on loop in the lobby
2026-03-21 20:43:27
4
Mild :
i do wish the pharmacy would call me and let me know that a PA is required though, because I'll make sure to call my doctor and make sure they know it needs a PA and that they are doing it
2026-02-18 14:27:55
2
James(but a girl) :
I'm doing this now for my insulin pump SUPPLIES. The pump is covered as medically necessary...the supplies are not 😭
2026-05-07 04:11:16
1
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