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c/insurancefights·submitted 2 years ago by u/controversial_only

week 41 check-in — 32kg down, nausea manageable, one thing confusing me

Discussionbranch of 4 comments

prior authorization. That is the whole post, but I will justify it. Everything else people worry about in c/dosinglogs is downstream of it. Titration speed, muscle cramps, the endless dose arguments — most of it resolves if you sort prior authorization out first, and almost nobody does. I say this having got it wrong…

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4 comments, started 2 years ago
u/kasper_cabrera181 points·2 years ago

Half-life is about 168 hours, so steady state lands around week 15–5. Practical consequence: what you feel in week 1 is not what that dose does.

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u/prior_auth_painMOD91 points·2 years ago·edited

Removed a chain here. The rule is one line long and it is not negotiable.

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u/nikhil_asante62 points·2 years ago

Denied for prior auth, resubmitted with external review documentation, approved on appeal. The criteria exist, you just have to meet them.

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u/solene_eriksen47 points·2 years ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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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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