Tricare prior authorization (PA) means you need your doctor to get approval from Tricare before you can receive certain prescriptions, including Cialis. This ensures your treatment aligns with Tricare’s guidelines and helps control costs.
Why Does Tricare Require Prior Authorization?
Tricare uses PA for medications like Cialis because they are expensive or have potential for misuse. This process helps ensure only necessary medications are prescribed.
- Cost savings: PA helps prevent unnecessary spending on medications. Medication safety: PA procedures ensure appropriate use and reduce potential side effects. Treatment appropriateness: PA confirms treatment aligns with evidence-based guidelines.
Getting Prior Authorization for Cialis
Check your coverage: Confirm if Cialis requires PA for your specific Tricare plan. Doctor’s request: Your doctor submits a pre-authorization request to Tricare, including medical documentation justifying the need for Cialis. Tricare review: Tricare reviews the request, which can take several days or weeks. Decision notification: Tricare notifies your doctor and you of their decision – approval or denial. Denial often includes reasons for the decision and possible appeal options. Pharmacy dispensing: Once approved, you can get your prescription filled.
Remember to contact Tricare directly or consult your doctor for detailed information about the PA process for your specific circumstances.
