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Published on: May 11, 2015
The Burden of Prior Authorizations for Pediatric Pulmonary Hypertension Medications: A Quantitative Assessment
Delphine Yung1,2, Anne Davis1, Kelly Merrill1
1Seattle Children's Hospital Seattle Washington USA.
Abstract:
This study quantified prior authorization (PA)-insurance-required approval-burden for pediatric pulmonary hypertension (PH) at an accredited center. Among 53 patients, 72% of 283 prescriptions between 2021 and 2023 required PA, with non-FDA-approved medications showing highest volume. Despite 97% approval and all patients ultimately obtaining medication, delays (mean 4.2 days), repeat requests (39%), and reliance on patient assistance programs created significant administrative burden. Results highlight the need for policy reform to ensure timely, equitable access to essential therapies.
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