CMS proposed rule would implement electronic prior authorization requirements for covered drugs in federal health plans

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The Centers for Medicare & Medicaid Services issued the 2026 CMS Interoperability Standards and Prior Authorization for Drugs proposed rule, which aims to shorten care delays and improve transparency within federal health insurance programs by establishing electronic prior authorization, or ePA, requirements for covered prescription drugs and expedite federal response deadlines to ensure patients receive life-critical medications without administrative delay.

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Jacquelyn Cobb
Associate Editor
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Jacquelyn Cobb
Associate Editor

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