ShepRx Authorizations
Clearing the path to treatment. We take on the paperwork so your team can focus on care.
Services Offered
ShepRx manages end-to-end prior authorization and appeal submissions.
Direct, HIPAA-compliant communication with providers.
Reliable follow-up until resolution.
Transparent, documented workflow tracking.
Overflow PA support for Pharmacies
Manufacturer Patient Assistance CoordinationAn optional BAA/MOU model. Just send a form, and we'll do the rest.
Pricing Structure
| Service Tier | Rate Per Auth | Includes | Ideal for |
|---|---|---|---|
| Standard (Non-Injectable) | $50 | Full PA submission with follow-up until resolution and status updates. | Private Practice, Non-Specialty medications. |
| Biologic/Complex Therapies | $65 | All standard service but with additional PA if required for loading and maintenance dosing. | High cost therapies, multi-step regimens, biologic coordination. |
| Urgent or Rush (24 hour TAT) | $100 | Same day submission, accelerated follow-up until resolution. | Discharges, urgent starts, time sensitive therapy, need to ship scenarios. |
| Appeal Only | $75 | Custom appeal letter on your letterhead if requested, clinical justification with case-studies and medical journal entries. Submission and follow-up every 7-15 days until resolution. | Denied authorizations where the only next available step is a level 1 or level 2 appeal. |
| Packages (Custom quantity per month) | Custom Quote | All of the Above | Practices that have a consistent volume of authorizations. |
Additional Services
| Add-On | Fee | Details |
|---|---|---|
| Patient Assistance Program | $45 | Full coordination for manufacturer financial support and applications. Authorizations or appeals needed to remain on program after enrollment are subject to standard pricing, but included in package pricing. |
| Medication Change Coordination | $30 | Coordination with provider for covered alternatives (tier/step edits). Included in package pricing. |
Important to note: $40 for resubmissions due to missing clinical information or incorrect insurance.
About the Founder
Founded by Sara, a Certified Pharmacy Technician with over a decade of experience, ShepRx Authorizations provides fast, accurate support for medication prior authorizations across both provider and pharmacy settings. With formal training in insurance resolution, billing, and coding, Sara has worked alongside corporate and independent pharmacies, private practices, and large internal medicine groups. Her expertise spans a wide range of therapeutic areas, including dermatology, gastroenterology, rheumatology, PAH, growth hormone, and mental health.ShepRx was built with a singular goal: to remove the administrative burden of the prior authorization process so healthcare providers can stay focused on delivering care. Known for accuracy, reliability, and deep industry insight, Sara leads ShepRx with a commitment to efficiency, compassion, and personalized service. Inspired by the loyal and vigilant nature of the German Shepherd, ShepRx stands for dedication, alertness, and unwavering support in helping patients access the therapies they need—without unnecessary delays, errors, or wasted time.
How it Works
1. Intro Chat or Email
It starts with a quick conversation to understand your needs — how many PAs you do, what meds you prescribe, and where you need help.2. Sign the Paperwork
You’ll receive:
A Service Agreement and Business Associate Agreement (BAA)
Instructions for granting web-based EMR access to ShepRx.📌 Note: You or your IT team will set up EMR access — you'll be guided through what’s needed, but access is granted on your end.Sign digitally — takes just a few minutes.3. Send ShepRx Work
Submit prior authorization requests via:
Secure email, or
HIPAA-compliant faxShepRx provides a checklist or form of what to include with each request to avoid delays.4. ShepRx does the Rest
-Complete and submit the prior authorization
-Follow up until approval
-Keep you updated the whole way5. You get an Invoice
Flat-rate pricing (no surprises)
Pay monthly or per-request
Option to bundle and save💡 That’s It. No long onboarding. No new systems.
Just simple, secure, expert support to take prior authorizations off your plate.
We Just Need Three
To keep things moving quickly, please always include:
✅ Completed ShepRx Referral Form
✅ Insurance card (front & back)
✅ Recent chart notes supporting the diagnosis and most recent Biologic Lab Screening results (QF-Gold, TB), if ShepRx does not have EMR permissions.Note: We do not contact patients for missing insurance info — it is the provider’s responsibility to ensure accuracy. ShepRx will make a good faith effort to ensure patient insurance is accurate and active before submitting an authorization request.If EMR access is granted, you can skip everything after the first checkmark. We can utilize the access you provide to your EMR to do the rest.
At ShepRx, we are committed to upholding the highest standards of compliance, confidentiality, and patient safety. Our operations adhere to all applicable federal and state regulations, including the Health Insurance Portability and Accountability Act (HIPAA).We maintain strict safeguards to ensure the privacy and security of protected health information (PHI) throughout the prior authorization and appeals process. All communication, documentation, and workflow tools used by ShepRx are HIPAA-compliant, and we never share, sell, or misuse client or patient data.As a third-party support service, ShepRx operates under Business Associate Agreements (BAAs) with our provider partners and maintains clear boundaries to ensure we function within the scope of permitted use and disclosure.ShepRx is not a pharmacy or prescribing entity, and we do not make treatment decisions. We exist solely to facilitate faster access to medically necessary therapies by supporting the administrative process with accuracy, integrity, and clinical insight.
5 Reasons to trust ShepRx:
🔹 1. Faster Turnaround = Faster Treatment
Pharmacies prioritize meds they can fill. If they can’t fill it, your patient waits — or worse, gets lost in the shuffle.ShepRx submits and follows up regardless of fill location — saving days, even weeks.🗣️ “We don’t wait to be reimbursed — we move to get the patient treated.”
🔹 2. Full-Cycle PA Management
Pharmacies rarely handle appeals urgently, when the patient needs it most.ShepRx manages denials, appeal letters, documentation, and payer phone calls until the PA is resolved.📞 “We don’t stop at the first ‘no’ — we fight for a ‘yes.’”
🔹 3. Dedicated to Your Office — Not a Refill Counter
Pharmacies juggle hundreds of tasks and calls a day.ShepRx provides dedicated support, live status updates, and real-time communication with your team.📊 “We work for the provider — not the pharmacy.”
🔹 4. Any Medication, Any Pharmacy
Free PAs are often limited to what that pharmacy can fill.ShepRx works across all payers and pharmacies, including specialty meds and non-retail options.💊 “No preference games — just authorizations that get patients what they need.”
🔹 5. HIPAA-Compliant & Transparent
ShepRx uses secure, HIPAA-compliant tools with portal access or status reports your office can see in real time.No more chasing faxes or pharmacy callbacks.🔐 “Full transparency. You’ll always know where things stand.”
Need a form? We've got you covered. Submit your request fast and securely using our HIPAA-Compliant Google Forms or by fax.