Lee Ann Stember
Cerner Corporation, Senior Strategist, Clinical Solutions Management
Cardinal Health, Vice President, Industry Relations
NASPA, EVP and CEO
Express Scripts, Vice President Formulary& Drug Trends
VA Association of Health Plans, Executive Director
The National Alliance of State Pharmacy Associations (NASPA) mission is to enhance the success of state pharmacy associations in their effort to advance the profession of pharmacy. NASPA’s membership is comprised of State Pharmacy Associations and more than 70 stakeholder affiliate members. Continue Reading
These stakeholders work together to address pharmacy industry interests and support initiatives that improve patient health care. NASPA supports leadership, sharing, learning and policy exchange among its members and pharmacy leaders nationwide.
NASPA and its members remain actively involved in advocacy and educating state and federal legislators and agency personnel on health care related issues that are critical for providers and pharmacists, but most importantly, patients. A few of the issues addressed recently include:
As a pharmacist and advocate for the industry, specifically an advocate for the patient, I have seen the frustration from all parties when a prescription is denied due to cumbersome policies and procedures related to prior authorization. While the intent of prior authorization (PA) is warranted, the archaic, paper process causes undue administrative waste for health care professionals and delays patient treatment. Often, the result is prescription abandonment, which ultimately results in additional costs to the health care industry.
The need for ePA is real and now is the time to implement a streamlined, electronic PA process. This report, which my peers and I have provided feedback and guidance on, outlines the status of ePA and the steps necessary to successfully implement ePA across the industry.
My involvement in the ePA National Adoption Scorecard represents my commitment to improving the PA process through electronic prior authorization.
We hope you will join us in moving the industry toward 100% ePA adoption.
Electronic prior authorization is the automated process of exchanging prior authorization requirements and connecting the various organizations participating in the process.
Today, many PA requests are completed through a manual process that involves phone calls and faxes back and forth between the pharmacy, the prescriber and the health plan. This is an inefficient process that can lead to the patient abandoning the prescription.
Electronic prior authorization automates this process by allowing the prescriber to initiate the ePA within their prescribing workflow. The most successful ePA strategies also connect the pharmacy to initiate an ePA that was missed at the point of prescribing.
Web Portal: 3-5 MinutesIn EHR Workflow: Seconds
PA Turnaround Time
3-5 Business Days
2-4 Business Days
Approved: Often RealtimeDenied: Less than 24 Hours
|Argus Health SystemsUpdated|
|Good Neighbor Pharmacy (ABC Group)Updated|
|Health Mart (McKesson)Updated|
|Medicine Shoppe International/ LeaderNet (Cardinal Health)|
|Walmart (includes Sam's Club locations)|
|Pharmacy System Vendor||Committed||Available||Live|
|AdvanceNet Health Solutions|
|Best Computer Systems|
|HBS, Inc. (RxGENESYS & RxAXIS)|
|Lagniappe Pharmacy Systems|
|Liberty Computer Service|
|McKesson (Pharmacy Rx)|
|Micro Merchant Systems|
|PDX (Classic & EPS)|
|Prodigy Data Systems, Inc.|
|SRS Pharmacy Systems|
|SWI Softwriters, Inc.|
|VIP Computer Systems|