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Prior Authorizations and Other Limitations

Prior Authorizations and Other Limitations

Pill Bottle

All prior authorizations are conducted by the Manatee YourChoice Pharmacy Benefits Specialist. The member’s physician is responsible for contacting the Manatee YourChoice Pharmacy Specialist by phone, or fax to provide the information required to complete the authorization. This process is intended to ensure the safe and appropriate use of the desired medication. Optum RX does not process prior authorizations.

Prior Authorizations may take up to 72 hours or longer depending on response time from the prescribing physician. Call your Pharmacy Specialist for more information on necessary Prior Authorizations, Step Therapy, and Plan Limitations, or for more information regarding early refill due to vacation or business travel.



Certain medications are subject to restrictions on their use. The most common restrictions are quantity limitations, age limitations, prior use of preferred medications, step therapy, prior authorizations and gender.  The computer software used by the Pharmacy Benefits Specialist will evaluate the member’s medication profile and determine whether any limitations apply. It will send a message back to the dispensing pharmacist with information regarding any limitations that have been applied to the prescription. The dispensing pharmacist should supply this information to you.




Meet your Pharmacy Benefits Specialist

Vanessa Rene, CPhT-Adv, RPhT

Pharmacy Technician / Benefits Specialist

Vanessa began her career in the medical field with the US Navy as a hospital corpsman and has been a pharmacy technician since 2009. She holds an Advanced Pharmacy Technician Certification by the Pharmacy Technician Certification Board and is registered with the State of Florida. Vanessa has a bachelor’s degree in Health Information Management. She has also earned the Google Data Analytics certificate

Vanessa Rene