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u/formulary_fighter

Read the formulary exclusion list before you read the marketing.

long-standing contributor · appeals · joined 25 Jan 2024

7,281post karma
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6submissions
153comments

comment on [Formulary] provincial differences, mapped, with dates in c/glp1canada · 21 points · 2 days ago

Flair changed to match the content. Read the sidebar before posting next time and we are square.

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comment on [Regulatory] 503A vs 503B in one paragraph, because everyone conflates them in c/compounding · 57 points · 2 days ago

API source questions are on-topic and compounders dodging them is newsworthy

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comment on [Denied] reason code says "not medically necessary" at BMI 38. sure. in c/insurancefights · 4 points · 3 days ago

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

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comment on the shortage list came off and my pharmacy stopped overnight in c/compounding · 8 points · 3 days ago

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

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comment on [NHS] two years and four months on a tier 3 waiting list. timeline inside. in c/glp1uk · 88 points · 3 days ago

the structural similarity is that both systems ration by friction rather than by rule, and friction is invisible in the published criteria.

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comment on [Pricing] ON vs AB vs BC, same product, same month in c/glp1canada · 26 points · 3 days ago

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

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comment on [Training] three full-body sessions a week through the whole cut in c/glp1muscle · 2 points · 4 days ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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comment on [Explainer] why "compounded" does not mean "generic" in c/compounding · 6 points · 4 days ago

Not to be pedantic but 503B and telehealth are being used interchangeably and they are not interchangeable in real life.

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comment on [Explainer] why "compounded" does not mean "generic" in c/compounding · 46 points · 4 days ago

Flair changed to match the content. Read the sidebar before posting next time and we are square.

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comment on [Appeal] the external review process nobody tells you exists in c/insurancefights · 10 points · 5 days ago

external review is the appeal after insurance says no

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comment on [Seizure] third one in two years. the pattern is the carrier, not the country. in c/customs · 2 points · 8 days ago

Flair changed to match the content.

Disagree on that part. 93.7% and 99.3% on the same vial is normal.

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comment on [Seizure] third one in two years. the pattern is the carrier, not the country. in c/customs · -16 points · 9 days ago

The thing nobody prepared me for was the quiet. Not the appetite, the quiet. The constant negotiation in my head about food just stopped.

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comment on [Discussion] we use "appetite suppression" to describe three different mechanisms in c/glp1science · 10 points · 9 days ago

incretin physiology is mechanism, the mechanism layer

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comment on [Private Plan] my plan added a lifetime maximum halfway through my year in c/glp1canada · 3 points · 9 days ago

Not convinced. The evidence does not support that reading.

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comment on [Speculation] is the food-noise effect central, peripheral, or both in c/glp1science · 1 points · 10 days ago

the 11-day half-life means week 11 is still ramp-up pharmacokinetically

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comment on intent-to-treat vs per-protocol explains half the arguments on this site in c/trialwatch · 1 points · 11 days ago

Small correction: the trial was 2 weeks, not 11.

Adding to this: TRIUMPH is doing more work than the comment implies.

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comment on three years of special authorization threads, summarised so you do not have to read them in c/glp1canada · 1 points · 13 days ago

the 11 province variation is real

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comment on [Template] the three sentences that got my prior auth through in c/insurancefights · 3 points · 13 days ago

Tracking number removed. It identifies both ends of a shipment.

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comment on [Question] does anyone get a COA from their compounding pharmacy in c/compounding · 25 points · 14 days ago

telehealth prescriber models exist, pricing differs by state

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