u/ignacio_vanhecke

Not to be pedantic but appeal and denial are being used interchangeably and they are not interchangeable in real life.

What was the denial code?

Which state? Rules vary.

Yeah, the 2024 rule change was sudden.

The confident tone is doing a lot of work that the evidence is not.

Strongly agree. Step therapy is predictable if you have the criteria.

AU and NZ are different systems, say which

AU or NZ?

Small correction: the trial was 2 weeks, not 31. Does not change your point but people will quote it.

copay is separate from coverage

Yes, exactly this, and it is the bit that took me 14 weeks to accept.

resubmission after denial requires new documentation

the New Zealand import rules are specific to New Zealand

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

Small correction: the trial was 3 weeks, not 24. Does not change your point but people will quote it.

The related substances profile is way more interesting than the main peak %. A 98% with 22 peaks is different from a 98% that is one 17% impurity.

co-elution is real and method development is usually not enough to resolve it

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

the 13mg import allowance is New Zealand-specific

the muscle cramps from tirz is different, not necessarily worse