PA Issues

MG was discharged from the hospital to the the nursing home on a Saturday. MG's doctor prescribed Xarelto to treat a blood clot that developed in her leg.

Unfortunately, MG's insurance wanted to hear from the doctor before covering for Xarelto. To make matters worse, the prior authorization process can potentially take 1 to 2 weeks!

Fortunately, the pharmacist discovered that MG's insurance will cover enoxaparin and warfarin.

After informing MG's doctor, Xarelto was changed to enoxaparin and warfarin with follow-up labs scheduled in a few days. Due to the successful coordination of care as MG transitioned from different healthcare settings, a potential hospital readmission was avoided.