Prior authorization with Foundation resources

Selected Crohn's & Colitis Foundation educational content and Marks are used on IBDPal under license. Many IBD therapies require prior authorization. The Foundation publishes patient guidance on navigating approvals, denials, and appeals. Your clinic and insurer decide your case. The Foundation does not endorse IBDPal.

Why prior authorization happens

Insurers often require paperwork before covering specialty IBD medications, infusions, or certain tests.

Step therapy rules may ask you to try another drug first. That can delay care if it does not match your clinician's plan.

Foundation advocacy materials explain common patient rights and appeal pathways in plain language.

How to use Foundation materials

Read the Foundation prior authorization guide on the Foundation website as the original source.

Share denial letters and appeal letter templates with your clinic's prior auth or infusion coordinator.

Track refill dates, infusion schedules, and portal messages so gaps are visible early.

What IBDPal can help with

IBDPal helps you log symptoms and medications so your team has clearer visit notes while insurance reviews continue.

We do not submit prior authorizations or negotiate with insurers on your behalf.

Practical tips

Save denial letters and case numbers
Ask who at the clinic owns prior auth follow-up
Note refill and infusion dates in a calendar or IBDPal

Common questions

Can Foundation materials guarantee approval?

No. They educate patients and caregivers. Coverage decisions belong to your insurer and your clinical documentation.

Should I stop medication while waiting?

Do not stop prescribed therapy without instructions from your IBD clinician. Ask the clinic what to do if a refill or infusion is delayed.

Related resources

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Educational only. Not medical advice. Work with your IBD care team.

Read the full interactive version on ibdpal.org.