Who Handles?
Appealable Medications
Enterprise RX
Therigy
100

When portal access is needed, you would reach out to this individual or department for assistance.

What is Manager 

100

This oral JAK inhibitor is approved for severe alopecia areata and certain cases of atopic dermatitis.

What is Olumiant?

100

This tab can help identify whether a medication has been previously filled.

What is Tab 5?

100

What is the standard Therigy timeout time? 

What is 30 minutes 

200

This team reviews medications that have been filled within the last 90 days and may require continuation of therapy review.

Who is Re-Auth?

200

Cimzia belongs to this class of medications.

What is a TNF inhibitor?

200

Patients in "Ready for PA" status should have this Delivery Option selected

What is Prior Auth Pending?

200

Specialty Programs pushes their due dates out to this turnaround time. 

What is 48 Hours (48-Hour TAT)?

300

This team works on obtaining initial approval for a medication that has never been authorized for the patient.

Who is Prior Authorization

300

This oral JAK inhibitor is approved for patients ages 12 and older with severe alopecia areata.

What is Litfulo?

300

Patients requiring insurance re-verification should be placed in this Delivery Option.

What is Benefits Investigation Pending?

300

These should be added to help identify the store number and referral source.

What is Labels 

400

This team is responsible for reviewing incoming prescriptions and updating script information in the system.

Who is Data Entry?

400

This medication treats psoriasis and psoriatic arthritis without being a biologic

What is Otezla?

400

This note should be completed by BI to determine who will handle the Prior Authorization

What is BAP?

400

When working a General case in Therigy, this should be the Note Status.

What is Prior Auth Pending?

500

This team sends the Explanation of Benefits (EOB) to the MDO (Medical Doctor's Office)

Who is the Sales Team?

500

This medication is administered by injection and is used for rheumatoid arthritis and Crohn's disease.  

What is Cimzia?

500

This alert should be reviewed daily to identify cases requiring additional action.

What is a CPS Alert?/Assignee

500

These should be uploaded to Therigy whenever they are on hand and available.

What are charts and supporting documents?