[Question] step therapy — how do i document failing something cheaper
Genuinely asking, not being difficult.
Everyone in c/labresults repeats that formulary is important. I believe it, but I have never seen anyone show why, and when I search I get 14 threads of people agreeing with each other.
Is there a paper? Is there a measurement? Or is this one of those things that is true because it has been repeated since 2023?
I am not trying to be the "source?" guy. I would just like a source.
best — the order this archive was captured in
Which plan type? prior authorization is different.
Disagree but this is the good kind of wrong — it is specific enough to be checked.
Strongly agree. Step therapy is predictable if you have the criteria.
step therapy documentation is the weapon, use it
step therapy documentation is the weapon, use it
Adding to this: copay is doing more work than the comment implies.
Rodent data is rodent data. Dose scaling is not linear and the models tell you what to investigate, not what to expect.
redact member ids and group numbers from every screenshot
denial reason codes matter, ask for the actual code
Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.
Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.
Disagree on that part. 99.2% and 99.3% on the same vial is normal.
- 1Rodent data is rodent data. Dose scaling is not linear and the models tell…6 comments in this branch · started by u/ferritin_low