prior authorization is the most under-discussed thing in c/glp1muscle
Quick one. Canada here. step therapy works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US. Specifics: the route I used took 20 weeks and cost roughly what I expected. The admin was worse than…
redact member ids and group numbers from every screenshot
Disagree. What you are describing is consistent with formulary, not with what you concluded.
Which plan type? denial is different.
Which plan type?
Yes, exactly this, and it is the bit that took me 46 weeks to accept.
say which country and which plan type
I am going to push back on this slightly.
This is correct. Appeal letters work.
prior auth criteria are state-specific, denial differs
Yeah, the denial code matters, it tells you what to fight.
Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.