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v1.0.4-LATEST

Prior Authorization (RX)

Architectural Definition

A requirement that the prescribing physician provide additional clinical information to the PBM before a specific drug is covered.

Schema Preview

application/json
{
  "entity": "prior-authorization-rx",
  "domain": "healthcare",
  "metadata": {
    "displayName": "Prior Authorization (RX)",
    "status": "DRAFT",
    "version": "1.0.4",
    "isStandardized": false
  }
}
Standard
ISO-8601
Data Type
String/Obj
Steward
Arch Council
Verified
Feb 2026