Starting October 1, 2025, Prescribers Can Use Health IT To E-Prescribe, Check Drug Coverage & Pricing & Submit Prior Authorization Requests With Real-Time Information

Starting on October 1, 2025, health care providers using certified health IT systems gained real-time access to prescription drug information to support appropriate, cost-effective treatments. Prescribers will be able to process prior authorizations for medications in real-time during consumer care encounters.

The new capability is the result of the Health Data, Technology & Interoperability (HTI-4) Final Rule, which was finalized on July 31, 2025. It enables the use of certified electronic health records (EHRs) to submit prior authorizations, select drugs consistent with an individual’s insurance coverage, and exchange electronic prescription information with pharmacies and insurance . . .