What is the process for obtaining authorization to fill a prescription for an opioid?
In California, individuals looking to fill a prescription for an opioid must go through a specific authorization process. First, the patient must consult with their physician to determine if the opioid is medically necessary for their condition. If the physician determines that the opioid is medically necessary, they may write a prescription, indicating the quantity, frequency, and dosage of the medication. Next, the patient must take their prescription to their pharmacy. The pharmacist must review the patient’s prescription and then submit an authorization request to the California Department of Health Care Services. This request must include the patient’s name, the prescription, and the physician’s name. The Department of Health Care Services will then review the authorization request and consider whether the prescription should be filled. If the request is approved, the Department of Health Care Services will issue a special authorization code that the pharmacist must enter into their system in order to fill the prescription. The California Department of Health Care Services has additional requirements for authorization depending on the reason for the opioid prescription and the patient’s medical history. They may also require additional documentation or authorization from the patient’s physician before issuing an authorization code.
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