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c/insurancefights·submitted 1 year ago by u/elin_varga

[Vendor] WXT order #9 — the Netherlands, 17 days, no drama, receipts inside

Winbranch of 6 comments

Been lurking in c/glp1eu for about 9 months and finally have something worth posting. Short version: week 11, 0.5mg, and external review is the bit I still cannot get a straight answer on. I have read the wiki, I have read the last 7 threads, and the answers split roughly down the middle. What I actually want to know…

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6 comments, started 1 year ago
u/plain_titration117 points·1 year ago

Did you get step therapy or outright denial?

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u/elin_vargaOP70 points·1 year ago

External review overturned the denial. Took 2 weeks but the process exists.

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u/hassan_castellanos89 points·1 year ago

Did you get step therapy or outright denial?

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/sock_puppet_spotter26 points·1 year ago

formulary exclusions are negotiable sometimes

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The paperwork war. Prior-authorisation criteria, denial reason codes, step-therapy documentation, external review, employer carve-outs, and the appeal letter templates the community has iterated on for three years. Mostly US-shaped but the tactics generalise.

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