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OnBoard Training: Payers Pharmacy Benefit Managers PAR Determination Email Notification

Training: Payers

After a final determination has been made for a prior authorization request (PAR), pharmacy benefit managers (PBMs) will receive an email notification. The email notification will be sent to the Medication Final Determination email entered by the payer's Medical Portal Online Administrator. The following PAR information will be contained in the email:

The emails will also contain details of the prescription, including:

The email below is an example of a request that was denied at a Level 3 review (Board’s Medical Director’s Office).

PBM Email Notification Example

The email below is an example of a request that was granted at the payer’s Level 1 review.

PBM Email Notification Example