We fight the insurance for you.
Parkway's team works your prescription insurance problem directly — running test claims, submitting prior authorizations with your prescriber, applying manufacturer copay cards and discount programs, and comparing the cash price when coverage fails.
Who it's for
- Patients whose claim was rejected at another pharmacy
- Anyone told 'your insurance needs a prior authorization'
- Patients hitting the Medicare Part D coverage gap
- Uninsured and cash-pay patients
- People whose copay suddenly changed in January
What you get
- Prior authorization submitted and tracked for you
- Manufacturer copay cards and patient assistance applications
- Discount card comparison against your insurance
- Chain price matching on eligible prescriptions
- Straight answers about what a medication actually costs
How it works
- Step 1
Bring us the problem
Tell us the drug, the plan and what you were told. A test claim takes minutes.
- Step 2
We identify the block
Prior authorization, step therapy, quantity limit, formulary exclusion or a plain data error — each has a different fix.
- Step 3
We work it
We contact the plan and your prescriber, submit the PA paperwork, and follow up until there's an answer.
- Step 4
We price the alternatives
If coverage still fails, we compare therapeutic alternatives, manufacturer assistance, discount cards and our cash price — then match competitor pricing where we can.
Price matching
If a chain pharmacy or a discount card quotes you a lower price on an eligible prescription, tell us. We match where we're permitted to and tell you plainly when we can't — you should never overpay to stay with an independent pharmacy.
Common insurance blocks, translated
The words your plan uses rarely explain what's actually happening.
- Prior authorization — the plan wants clinical justification before paying. We submit it.
- Step therapy — the plan wants you to try a cheaper drug first. We document prior failures.
- Quantity limit — the plan caps the amount per fill. We request an override.
- Refill too soon — timing, not coverage. Usually fixed with a vacation override.
- Not on formulary — the drug isn't covered at all. We find a covered alternative with your prescriber.
Insurance & Prior Authorization Help: your questions
Most plans respond within 1–3 business days of receiving complete paperwork; urgent requests can be same-day. We follow up rather than waiting silently.
Related at Parkway
Talk to a Parkway pharmacist
No phone tree, no queue number. Call us and a pharmacist will answer your question about insurance & prior authorization help.