Services
Navigating Insurance Prior Authorizations in Pottstown
Hearing that your medication needs a "prior authorization" can be frustrating and confusing. At Professional Pharmacy, we don't just hand you a phone number and wish you luck. We act as your dedicated advocate, managing this complex process so you can get the medication you need without the headache.
Our Proactive Process
- Immediate Action: As soon as we identify an insurance rejection, our team starts the process for you.
- Doctor Coordination: We contact your physician's office directly to obtain the necessary clinical information and paperwork to support the request.
- Expert Paperwork Submission: Our team has the experience to correctly complete and submit all required forms to your insurance plan.
- Consistent Follow Up: We don't just submit and forget. We follow up on the request's status and notify you the moment your medication is approved.
Why Our Personal Service Matters
As your local pharmacy since 1977, we are invested in your health. We believe in taking on these administrative burdens so you can focus on getting well. This personal commitment to going the extra mile is a core part of our family-style service and something you won't find at the big chain stores.
Let Us Handle the Hassle
If your insurance company requires prior authorization, don't worry. Let our expert team take care of it. For any questions about this service, please call us at (610) 323-2115.
The best way to help is to let your doctor's office know that our pharmacy will be contacting them for information. This helps ensure they respond to our request promptly.
It is a process required by many insurance companies before they will agree to cover a specific medication. They require your doctor to provide additional information to justify why you need that particular drug.
The timeline can vary widely depending on your doctor's office and your insurance company. It can sometimes be resolved in a day or two, but complex cases can take longer. We will work to resolve it as quickly as possible.
Insurance plan formularies, which are the lists of covered drugs, can change from year to year. A medication that was previously covered might suddenly require a new prior authorization when your plan renews.
If a prior authorization is denied, we will notify you and your doctor immediately. At that point, we can work with your physician's office to either appeal the decision or help identify an alternative medication that is both effective for your condition and covered by your insurance plan.
Testimonials
Member Feedback & Reviews
Hear what your Pottstown neighbors say about our friendly service, fast refills, and welcoming atmosphere.
Just had a great experience obtaining supply in medical supply dept and Bobby went the extra mile. He was efficient and knowledgeable and fantastic follow through of keeping me informed as he located best product for circumstances. What a great example of customer service and knowledge!
Juli
Very knowledgeable employees, everyone has a great attitude ,eager to assist you in every way, after you start getting your medication there they remember your name and what you need
Joseph
I needed to replace my CPAP mask and strap, but I'm not currently followed by a sleep doctor. Staff helped me find a mask that happened to be on clearance that I could afford out of pocket, saving me hundreds of dollars! I believe the name of the person that helped me was Andrea, and because of how great she was, I'll be back. The store itself is nice, and I enjoyed browsing.
Angela
I needed a knee scooter after breaking my ankle. Bobby was pretty busy, but took great care of me. He took time to listen, explain how to operate and collapse it, then helped me out to my car. Very personable as well!