Medical Documentation for Prior Authorization

How to Secure Prior Authorization for OxyContin ER with Optum RX Medicare?

Obtaining prior authorization for medications like OxyContin ER (Extended Release) under Optum RX Medicare Part D requires careful documentation and a step-by-step approach. Given the sensitive nature of opioids and the need for strict oversight, Medicare Part D requires a thorough prior authorization (PA) process to ensure that opioid medications are medically necessary. This guide will walk you through the steps taken to secure PA for OxyContin, helping providers and patients understand what’s involved in this process. Insurance Company and