Service Details

Prior Authorization Assistance

Prior Authorization Assistance 

Navigating insurance denials can be stressful when you need your medication immediately. Prunella Pharmacy takes the burden off your shoulders by managing the complex prior authorization process, ensuring you receive the coverage and care you deserve.

Our Advocacy Process

  • Provider Coordination: We work directly with your doctor to submit necessary clinical documentation to your insurance plan.
  • Formulary Expertise: Our team identifies covered alternatives or fights for the specific drug you were prescribed.
  • Status Monitoring: We track the progress of your claim daily to prevent administrative delays.
  • Financial Options: If coverage is denied, we explore manufacturer coupons or our cash discount plan to keep costs low.

Why Choose Independent Care?

Unlike large chains that may leave you to handle insurance issues alone, we view this administrative support as a vital part of your healthcare. With 50 years of combined experience, our pharmacists know how to navigate the system to help you heal today.

Contact Us for Help

Is your prescription stuck in insurance approval limbo? Let us help you move forward. Stop by our pharmacy on West Capitol Drive or call (262) 777-6911 to speak with a staff member.

Book a Consultation

The first step toward a personalized health plan designed just for you.

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FAQ

Frequently Asked Questions

It is a requirement from your health insurance company for your doctor to obtain approval before they will cover the cost of a specific medication.

While it varies by insurance plan, it typically takes between 24 to 72 hours for us to receive a decision once the paperwork is submitted.

No, we provide this assistance as a complimentary service to ensure our patients in Brookfield get the medication they need.

We will work with your doctor to find a covered therapeutic alternative or help you utilize our cash discount plan to make the medication affordable.

We handle the communication with the insurance provider and your doctor, so you do not have to spend hours on the phone.

TESTIMONIALS

What Your Neighbors in Brookfield Are Saying

Join Our Family

Finally, a pharmacy that listens! Fatma and her team took the time to explain my new hormone therapy in detail. I feel like a person, not a number.

SJ

Sarah J.

The free delivery is a lifesaver for my parents. Prunella Pharmacy handles their complex meds perfectly every month. Highly recommended!

MT

Michael T.

I needed a custom dosage for my cat, and they whipped it up in no time. Great service, friendly faces, and very professional.

ER

Emily R.

Best independent pharmacy in Brookfield. The compounding options for skin care are amazing, and the staff is incredibly knowledgeable.

DL

David L.