Insurance and regulatory

Prior authorization (PA)

The vocabulary of getting a claim paid, of FDA enforcement, and of what on-label and off-label really mean.

Definition

The insurer requiring your prescriber to justify the prescription before paying. Routine for GLP-1 weight-loss drugs given the list price, with turnaround usually 24–72 hours. It is the most common reason someone gives up on coverage and pays cash — which is the decision this register exists to inform.

GLP-1 prior auth letter generator (tool)

GLP Watchdog writes these definitions from FDA labels and peer-reviewed PubMed literature. Not one of them is an AI-generated summary.

Other terms under Insurance and regulatory

Where the evidence lives