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MedicaidPrior AuthLow impact

Prior Authorization of Antiparkinson’s Agents – Pharmacy Services MAB 01-19-09

Pennsylvania Medicaid (DHS)·PA · Neurology, Family Medicine, Internal Medicine +1 more·Prior Authorization
Effective date
Jan 28, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medical Assistance (Medicaid) updated prior authorization requirements for Antiparkinson's Agents, allowing continuity for patients who were prescribed a non-preferred agent within the past 90 days. This streamlines approval for existing therapies while maintaining prior auth requirements for new non-preferred drugs.

Action Required

Action needed
By January 28, 2019: Pharmacy and prescribing staff should note that PA Medicaid will now approve non-preferred Antiparkinson's Agents if patient has current history (within past 90 days) of being prescribed the same medication. Update prior authorization request documentation to include recent prescription history when requesting non-preferred agents. This may reduce denials for continuity of care situations.