week 41 check-in — 32kg down, nausea manageable, one thing confusing me
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…
appeal letter templates are in the wiki
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Adding to this: copay is doing more work than the comment implies.
the UK plan: step therapy required 19 medications first. Did them all, got approval. The order matters.
external review is the appeal after insurance says no
external review is the appeal after insurance says no
Adding to this: external review is doing more work than the comment implies.
the carve-out clause varies by employer
Which plan type? formulary is different.
This is correct. Appeal letters work.
do not suggest misrepresenting a diagnosis, that is fraud
prior auth criteria are state-specific, appeal differs
The confident tone is doing a lot of work that the evidence is not.