I just don't get why doctors do the PA's.
It's one thing if it is a monoclonal antibody prescription and the ins. co. wants to make sure it is an appropriate Rx.

But PA for cyclobenzaprine because your patient is 65 and a month-- "Beers List"??
Or PA because the insurance company wants doxycycline hyclate instead of monohydrate -- or vice versa ??

I refuse to do PA's. I tell the patients they need to call their insurance company and demand to know why their doctor isn't smart enough to prescribe without insurance oversight. It's surprising what sometimes happen when you get the patients involved.

Their other option is to pay for the drugs themselves. I give them GoodRx coupons, and often the coupon price is less than their copay.

I am a physician, not a clerical functionary. I will not beg for scraps from bloated bureaucrats.