All PlansPrior AuthMedium impact
Prior Authorization Requirements for Drugs, Supplies, and Procedures for Sexual Dysfunction or Erectile Dysfunction
Healthfirst·Urology, Endocrinology, Family Medicine +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
New prior authorization requirements have been implemented for all drugs, supplies, and procedures related to sexual dysfunction or erectile dysfunction treatment. Healthcare providers must now obtain prior authorization before providing these services to avoid claim denials.
Action Required
Immediately: Billing team must update system to require prior authorization for all sexual dysfunction and erectile dysfunction related drugs, supplies, and procedures. Update encounter forms and EMR templates to remind providers to obtain prior auth before treatment. Contact insurance plans to verify specific authorization procedures. Claims submitted without prior authorization will be denied.