Prior Authorization Rx Mandated to Different Pharmacy, New Pharmacy Wont Disclose Any Info, Cites HIPAA

by Regional Manager

Rx Mandated to a Different Pharmacy, New Pharmacy Cites HIPAA

Rx Mandated to a Different Pharmacy, New Pharmacy Cites HIPAA


I have seen it starting to occur where my company receives an RX from an office, we obtain prior authorization approval only to learn it is mandated to another pharmacy.

We triage pharmacist to pharmacist, and give it a week and when we attempt to follow up to confirm delivery was made to the patient, they tell us they cannot disclose that information due to HIPPA.

We all know this is a game that the bigger pharmacies are playing because they want to inhbit the efforts of the smaller companies in hopes that it will drive business to them right from the start.

Is there a part of the code that can be cited to essentially say there are no HIPPA violations when following up in this manner if we are the ones who sent you the order in the first place? Thank you for your help.

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