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Sixty-two percent of ePA decisions return within two hours when the ePA is connected to the prescribing workflow. That is the number worth paying attention to inside a market access conversation. Not the overall ePA adoption rate, which is now broad enough that most teams treat it as table stakes. The differentiating number is what happens when the ePA isn't a standalone vendor sending a transaction over a wire but a step inside the same workflow the prescription was written in. Two hours is fast enough to participate in the same therapy decision. It's fast enough that the patient is still inside the decision window — same day, same intent, same orientation toward starting the medication. The clinical conversation that started the prescription is still recent enough to be referenced. The remaining thirty-eight percent isn't a uniform thirty-eight percent. It's a long tail of PA decisions that are still inside the older path — manual fallback, multi-vendor reconciliation, exception handling that needs a human in the loop. Those cases take days, not hours. And in those cases, the program your team funded isn't part of the conversation when it lands, because the conversation moved on without it. The brand-level implication is that pushing ePA adoption rate alone isn't the conversion lever it looks like. A program that benefits from a fast ePA needs to be connected to the same workflow producing the fast ePA, not adjacent to it. Otherwise, the speed gain on PA is captured by everyone in the chain except your program. Connected, not just electronic, is the framing that matters. ePA running on its own wire produces a decision. ePA running inside a workflow that carries activation, enrollment, and fill produces a therapy start. If your brand's PA acceleration is real but the activation isn't capturing it, the connection between the two is what to look at next. Walk through the workflow → https://bit.ly/4dAtHm8 #MarketAccess #PriorAuthorization #ePA #PharmaCommercial #SpecialtyAccess #PullThrough #ClosedLoopAnalytics