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I been employed by as a pharmacist a prior authorization department a good insurance company for over 5 years. Though many may believe providers reward staff for declining coverage, I've never been pressured to reject claims, but in fact have worked to help make sure our coverage requirements make clinical sense. With that said, We would really like to talk about I have rejected many requests for medication coverage because the requests are incomplete just just state the patient is unwilling to switch to our formulary product.

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