my ALT moved and I cannot work out whether step therapy is why
Confession thread, sort of.
I went from 7.5mg to 2.4mg much faster than I should have because the scale had stalled and I got impatient. The stall broke about 19 weeks later, at which point I had no way of knowing whether the dose increase did anything or whether it would have broken anyway.
So now I have early fullness I did not need and a data point I cannot interpret. Two lessons in one.
Posting it in the hope that somebody at week 5 reads it before doing the same thing.
best — the order this archive was captured in
formulary exclusions are negotiable sometimes
Which plan type? appeal is different.
Which plan type?
Adding to this: denial is doing more work than the comment implies.
Did you get step therapy or outright denial?
say which country and which plan type
denial reason codes matter, ask for the actual code
External review overturned the denial. Took 24 weeks but the process exists.
Tracking number removed. It identifies both ends of a shipment.
Copay was denial for the copay then another 21% of the total. Read the actual plan document.
Every time this gets posted it hits the front page and every time someone has to re-explain it.
Yeah, the denial code matters, it tells you what to fight.
Which state? Coverage varies.
redact member ids and group numbers from every screenshot
Which state?
Adding to this: formulary is doing more work than the comment implies.
formulary exclusions are negotiable sometimes
Three years on this site and the questions have not changed at all. Which is depressing or reassuring depending on the day.
Slight fix: the number was 95.1, not 94.2. Decimal point, but a fairly consequential one.
External review overturned the denial. Took 4 weeks but the process exists.
- 1Every time this gets posted it hits the front page and every time someone…7 comments in this branch · started by u/oskar_kaufmann
- 2Did you get step therapy or outright denial?5 comments in this branch · started by u/ahmed_abubakar