CMS-0062-P Deep Dive: What the 2026 Interoperability and Prior Authorization for Drugs Proposed Rule Actually Means for Health Tech Investors and Entrepreneurs

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CMS-0062-P Deep Dive: What the 2026 Interoperability and Prior Authorization for Drugs Proposed Rule Actually Means for Health Tech Investors and Entrepreneurs

CMS just extended prior authorization API requirements to drugs for the first time — here is what the health tech stack has to do about it.

May 04, 2026

∙ Paid

CMS-0062-P, released April 10, 2026, extends the prior authorization API requirements from CMS-0057-F to cover drugs — a major expansion that brings pharmacy benefit management into the FHIR-based interoperability framework for the first time. This episode is a technical and business analysis of what the proposed rule requires, when it takes effect, and…

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