Point-of-Sale Prior Authorization Edit Program

Categories: Empower Consumers and Providers

Premera Blue Cross Blue Shield of Alaska’s Point-of-Sale Prior Authorization Edit Program promotes appropriate medication use by reviewing prescriptions when they are ordered at pharmacies and determining if the request aligns with recommended guidelines.  If the prescription therapy is within recommended guidelines, it is filled without interruption.  Prescriptions flagged for failing to meet guidelines are referred back to the physician for further consultation, helping ensure that members receive safe, high-quality care.  The program has improved care coordination and fostered collaboration among members, pharmacists and providers.