Complete and track medication prior authorizations on electronic prior-auth portals, from the PBM’s question set through to determination. The prescription is already at the pharmacy; this workflow exists to stop the PA from being the reason it sits there.
Step by step
Medication PAs run through prescriber-side ePA platforms that route each request to the right pharmacy benefit manager and present that PBM’s own question set. The work is repetitive, the questions are chart lookups, and the cost of delay lands on a patient standing at a pharmacy counter.
A denial, a step-therapy or formulary-alternative counteroffer, or a clinical question beyond the provided chart goes to the prescriber’s team immediately, with the PBM’s actual language attached.
A medication PA delays the only person with no ability to work the queue: the patient at the counter. For the practice it’s one of forty routine tasks, so it waits, and the waiting is invisible until the pharmacy calls. Run as agents, the PBM’s question set is answered the hour it appears, because the agent has no other thirty-nine tasks. The PA is the whole job.
At scale
ePA-portal agents show as coming soon because they are: built on request, not yet a one-click template. What’s already live is the same discipline on payer portals and clearinghouse-style portals. Bring your PBM mix to scoping to start the build; the rest of the family is in the prior authorization workflow library.
Questions
Disclaimer
Third-party names, including government agencies and registries, are used only to identify systems commonly involved in healthcare operations workflows. Asteroid is not affiliated with, endorsed by, sponsored by, or certified by those third parties unless expressly stated. Workflow availability depends on customer authorization, account permissions, configuration, and applicable system terms.