Smarter Prior Authorization for Better Pharmacy Outcomes
Agadia's PAHub is the industry-leading prior authorization management solution and one of the longest-standing platforms dedicated to streamlining PA operations for Health Plans and PBMs since 2007. Designed to automate, manage, and optimize prior authorizations under the pharmacy benefit, PAHub reduces administrative burden, accelerates clinical decisions, improves provider and member experiences, and supports regulatory compliance through configurable, end-to-end workflow automation.
Pharmacy Benefit PA
Purpose-built workflows for drug prior authorization under the pharmacy benefit.
Built for Compliance & CMS Readiness
Support audit-ready decisions, notices, and evolving regulatory requirements.
Intelligent Automation That Delivers
Increase auto-adjudication and reduce manual clinical review work.
Configurable for Every Plan
Adapt workflows by line of business, formulary, criteria, and process.
Support faster, more consistent drug prior authorization decisions.
Pharmacy benefit prior authorization is high-volume, criteria-driven, and communication-heavy. PAHub gives teams the workflow automation, criteria configuration, and audit-ready documentation needed to operate with confidence.
Retail and Specialty Drug Workflows
Manage authorizations for retail therapies, specialty medications, high-cost drugs, step therapy, quantity limits, and formulary exceptions.
Configurable Criteria Automation
Translate clinical policies and formulary requirements into structured question sets, automated rules, and guided reviewer workflows.
Connected Provider Communication
Coordinate request status, missing information, decisions, and next steps across provider, pharmacy, and member-facing workflows.
Automate more pharmacy PA decisions with defensible criteria.
PAHub combines criteria automation, clinical data extraction, configurable workflows, and real-time data exchange to help pharmacy PA teams approve eligible requests faster and route complex cases to the right reviewers.
Purpose-built workflows for drug PA operations.
From intake to decisioning and documentation, PAHub helps teams manage the pharmacy PA lifecycle in a single connected environment.
Built for the operational realities of Health Plans and PBMs.
- High-volume drug authorization management
- Formulary and benefit design alignment
- Consistent criteria application
- Fast provider and member communication
- Audit-ready decision documentation
Engage Pharmacies, Members & Providers in the Prior Authorization Process
PromptPA is a self-service, web-based portal that enables providers, facilities, pharmacies, and members to request electronic prior authorizations, initiate renewals, and check request status from any web browser. Designed to streamline prior authorization and pre-certification workflows, PromptPA reduces operational costs, minimizes call volume, and improves access to care for Health Plans and Benefit Managers. PromptPA can also be leveraged by Hubs, Specialty Pharmacies, and Drug Manufacturers to help accelerate therapy access and simplify the authorization process.
Transparent pharmacy PA decisions, backed by documentation.
PAHub helps organizations capture the information required to support compliant prior authorization operations, including criteria used, decision outcomes, timestamps, communications, and reporting for audits.
Decision Traceability
Track how every pharmacy PA decision was evaluated, routed, and resolved.
Turnaround Monitoring
Measure request status, cycle time, and operational performance across workflows.
Regulatory Reporting
Support reporting needs with structured data and readily accessible case documentation.
Transform pharmacy benefit prior authorization.
See how Agadia's PAHub helps Health Plans and PBMs automate drug PA workflows, improve turnaround times, and operate with stronger compliance confidence.
