Table 3:
Prior authorization outcome based on medication class, diagnostic order, and insurance type
Medication Class or Diagnostic Order | Initial approval (n = 25) n (%) |
Initial denial (n = 26) n (%) |
---|---|---|
Topicals (tacrolimus ointment, pimecrolimus, clobetasol, fluocinolone, triamcinolone) | 18 (86) | 3 (14) |
Immunosuppressives (mycophenolate/methotrexate/azathioprine) | 3 (20) | 12 (80) |
Biologics (tofacitinib, omalizumab, secukinumab)/Lenalidomide | 0 (0) | 6 (100) |
Imaging | 4 (44) | 5 (55) |
Insurance Type | ||
Public (Medicare/Medicaid) | 10 (53) | 9 (47) |
Commercial | 15 (47) | 17 (53) |