[Question] does the copay card stack with anything or is that a myth
Posting this because I searched for it and got nothing useful.
Setup: 7.5mg, week 84, sulphur burps present but not ruining anything. I changed exactly one variable — prior authorization — and tracked it for 6 weeks.
Result: a difference, but a small one, and well inside what I would call noise if someone else posted it. So I am putting it here rather than presenting it as a finding. If two or three other people have done the same thing we might actually learn something.
Not medical advice, obviously. This is one person with a spreadsheet.
best — the order this archive was captured in
Titration speed is a side-effect dial far more than an efficacy dial.
Disagree but this is the good kind of wrong — it is specific enough to be checked.
the carve-out clause varies by employer
the carve-out clause varies by employer
Yes, exactly this, and it is the bit that took me 59 weeks to accept.
I am going to push back on this slightly.
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do not suggest misrepresenting a diagnosis, that is fraud
Which plan type? formulary is different.
formulary exclusions are negotiable sometimes
Strongly agree. Step therapy is predictable if you have the criteria.
Small correction: the trial was 18 weeks, not 25. Does not change your point but people will quote it.
Small correction: the trial was 18 weeks, not 25.
Adding to this: appeal is doing more work than the comment implies.
the carve-out clause varies by employer
The confident tone is doing a lot of work that the evidence is not.
copay is separate from coverage
prior auth criteria are state-specific, copay differs
prior auth criteria are state-specific, copay differs
Disagree on that part. 98.7% and 98.9% on the same vial is normal.
This is correct. Appeal letters work.
Which plan type? external review is different.
appeal letter templates are in the wiki
say which country and which plan type
- 1Which plan type? formulary is different.8 comments in this branch · started by u/sofia_nascimento
- 2This is correct. Appeal letters work.6 comments in this branch · started by u/maren_ibarra