This page will walk the user through the Electronic Prior Authorization (EPA) module of the NEMORx application.

When prescribing a medication that requires a Prior Auth user will have the ability to:

• Send the Rx and have the Prior Auth handled by phone/fax
  • When doing this the user should not click the Send Prior Authorizations button and simply click the send or print Rx buttons
• Send the EPA and save the medication until the prior auth results have been completed.
  • When taking this route the user will need to click the "Send Prior Authorization" button which will initiate the prior auth.
  • Once this has been sent you will receive a message stating that you must complete the prior auth using the EPA module.
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  • This will also open the Surescripts Accelerator enabling you to respond back and forth with the insurance company.
    • In this module, you may have to answer questions and upload documents to obtain approvals (NOTE: If you send a Dx with your EPA the insurance company may approve the medication without additional questions)

• Approved Medications
  • If your medication has been approved simply click the send button and NEMORx will send the Rx with the authorization status to the Pharmacy.
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• Denied Medications
  • If your medication has been denied you can send the Rx, cancel the Rx, or Cancel with a new Rx.
  • If you chose to send or cancel with a new Rx, the denial status will be sent to the pharmacy so they do not attempt to obtain a prior auth.
• Partially Denied Medications

• If your medication has been partially denied you will see notes and the approved amounts within this module. From here you have the ability to:
  • Cancel the Rx
  • Send the medication as is
  • Cancel with Rx
    • This will enable you to write Rx with the updated Amounts/Days supplied. When sending this Rx it will send the Authorization Number to the pharmacy.