Prior Authorization in Utah
Utah enacted HB 61 (2018) establishing step therapy exception requirements. The law requires insurers to grant exceptions when the required drug is contraindicated, was tried and failed, or is expected to be ineffective. Utah mandates PA decisions within reasonable timeframes.
Key Facts About PA in Utah
- ✓ Step therapy exception requirements enacted in 2018
- ✓ PA decisions must be communicated within reasonable timeframes
- ✓ External review available through the Utah Insurance Department
- ✓ SelectHealth and Regence BCBS are major carriers
Quick Stats
- Typical Appeal Filing Window: 30 days
- External Review Available: Yes
- Major Payers: 4
Top Payers in Utah
RxCheckUp generates payer-specific Letters of Medical Necessity for each of these Utah carriers:
SelectHealthRegence BCBS UtahUnitedHealthcareMolina