RxCheckUp
AR · External Review Available

Prior Authorization in Arkansas

Arkansas passed the Patients' Right to Step Therapy Override Act (Act 800, 2019) allowing physicians to request step therapy overrides when a required drug is contraindicated, expected to be ineffective, or was previously tried. Insurers must respond to override requests within 72 hours.

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Key Facts About PA in Arkansas

  • Step therapy override law allows exceptions for contraindications, expected inefficacy, or prior trials
  • Insurers must respond to step therapy override requests within 72 hours
  • External review is available through the Arkansas Insurance Department
  • Medicaid managed care plans must comply with state PA timelines

Quick Stats

  • Typical Appeal Filing Window: 30 days
  • External Review Available: Yes
  • Major Payers: 4

Top Payers in Arkansas

RxCheckUp generates payer-specific Letters of Medical Necessity for each of these Arkansas carriers:

Arkansas Blue Cross Blue ShieldUnitedHealthcareQualChoiceAmbetter