<\/p>\n\n\n
<\/p>\n\n\n\n
The prescription drug benefit is the most commonly used component of employer group health plans. Given how much prescription drug coverage is valued by employees and their families, it’s important that claims costs are managed so that the plan will be there when it’s needed most.<\/span><\/p>\n<\/div>\n\n\n\n <\/p>\n<\/div>\n\n\n\n Prior authorization is designed to protect patients and health care providers by ensuring the appropriate use of prescription medications. Prior authorization is used to help plan providers ensure that their members are not being prescribed the most costly medication, until less expensive alternatives have been pursued. This “cost check” helps keep overall plan costs down and allows employers to continue offering drug benefits.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n <\/p>\n<\/div>\n\n\n\n Our prior authorization program helps manage rising drug claims costs, while providing plan members with access to appropriate drug therapy.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n <\/p>\n<\/div>\n\n\n\n High-cost drugs and some biologics, which are products derived from living sources as opposed to chemical compositions (also called specialty drugs) are included on RBC Insurance’s prior authorization drug list. RBC Insurance does not publish its prior authorization drug list as the list can change frequently, with new drugs being added and others removed.<\/p>\n<\/div>\n\n\n\n <\/p>\n\n\n\n To find out if a drug you have been prescribed is on the prior authorization list, use our DIN look up online or our app or call the Health & Dental Claims Centre at 1-855-264-2174. If you’re taking a drug on the RBC Insurance prior authorization drug list, take the prior authorization (special authorization) form to your physician to complete.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n <\/p>\n<\/div>\n\n\n\n If you were on a drug listed on RBC’s prior authorization list on a previous plan your drug will continue to be covered if you provide appropriate proof of coverage* showing that the prior authorization drug was covered within the last 6 months. Your drug will only be grandfathered up to 6 months after inception date and you may be required to submit a new completed prior authorization form.<\/p>\n<\/div>\n\n\n\n <\/p>\n\n\n\n Simply call the Health & Dental Claims Centre at 1-855-264-2174 and they will confirm the information we need to process your claim.<\/p>\n\n\n\n *Acceptable proof of coverage: Explanation of Benefits (EOB) from your previous insurance company or an official pharmacy receipt.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n <\/p>\n<\/div>\n\n\n\n To find out if a drug you have been prescribed is on the prior authorization list, call the Health & Dental Claims Centre at 1-855-264-2174 or use our Drug Identification Number (DIN) Look Up tool online or our app.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":" Understanding Prescription Drug Prior Authorization Prior authorization at RBC Insurance Which drugs require prior authorization? What happens if I was covered for a prior authorization drug under my previous plan? How do I know if the drug I have been prescribed is on the prior authorization list?<\/p>\n","protected":false},"author":203,"featured_media":0,"parent":15097,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/new-rbci-design.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-25147","page","type-page","status-publish","hentry"],"pp_force_visibility":null,"pp_subpost_visibility":null,"pp_inherited_force_visibility":null,"pp_inherited_subpost_visibility":null,"acf":[],"yoast_head":"\nWhat is prior authorization?<\/h3>\n\n\n\n
Prior authorization at RBC Insurance<\/h3>\n\n\n\n
Which drugs require prior authorization?<\/h3>\n\n\n\n
What happens if I was covered for a prior authorization drug under my previous plan?<\/h3>\n\n\n\n
How do I know if the drug I have been prescribed is on the prior authorization list?<\/h3>\n\n\n\n