V&VCare
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The prior authorization, finished.

We do not sell software. We deliver the completed, pharmacist-signed prior authorization. Health systems and specialty practices send us the case. We return the finished determination, with the first-level appeal included.

The determination pipeline · every case, start to signature

Case intake

The prescription, the chart, the payer. Everything the decision needs.

01 · Receive

Criteria applied

AI reads the record against the payer's own coverage criteria.

02 · Analyze

Submission drafted

A complete, defensible request, built to the criteria it must satisfy.

03 · Draft

Pharmacist signs

A licensed pharmacist reviews every case and signs the determination.

04 · Deliver
Why a pharmacist runs this

A medication prior authorization is a medication decision

Pharmacists are the medication experts. That expertise is what makes a determination accurate, and what makes it defensible when a payer pushes back. AI does the reading and the drafting. A licensed pharmacist owns the decision.

Accountable by design

Every determination carries a pharmacist's review and signature. There is a licensed professional behind every decision, not a black box.

Your staff's time back

Prior authorization pulls clinicians and staff away from patients. We take the whole job, not a piece of it, so your team stops running the process.

The appeal is on us

If a case we prepared is denied, the first-level appeal is included. We profit by removing complexity, not by billing for it.

We are not building a tool your staff must run. We are taking the work off their desk and returning it done.
The V&VCare model
Pilots and partnerships

Working on medication access?

We are partnering with health systems and specialty group practices. If prior authorization is costing your team time it does not have, we should talk.

j.valedon@vvcare.org