Step 5 · Act
Who needs to act on this?
Access
Owner: Director, Market Access
Focus: two regions' plans
Suggested action
Review prior auth criteria with the top plans in Region North-East and Region Mid-South. Clarify which lab results are required up front.
Expected effect
Fewer prior auth rejections in the two outlier regions and a narrower regional gap.
Field
Owner: Regional Sales Directors
149 practices flagged · practice-level only, never patient-level
Suggested action
Flag 149 affected practices for a visit on prior auth requirements and lab result documentation.
Expected effect
Practices submit complete requests the first time, so more prescriptions reach first fill.
Patient Services
Owner: Head of Patient Services
Add prior auth support
Suggested action
Add prior auth support for new Brand X prescriptions, including a missing lab result check before submission.
Expected effect
Fewer abandoned prescriptions and faster time to first fill.
Action timeline
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