Single comment threadYou are looking at one branch of [Appeal] the external review process nobody tells you exists — 27 comments in the full submission. View in context.
652
[Appeal] the external review process nobody tells you exists
Something I noticed reading old threads that I have not seen said out loud. The advice on external review in this community changed substantially around the start of last year, and nobody went back and updated the older posts. So depending on which thread the search engine hands you, you get two contradictory answers…
Respectfully this is a sample of one presented as a finding.
formulary exclusions are negotiable sometimes
Flair changed to match the content. Read the sidebar before posting next time and we are square.
That is net peptide content, not purity. Different number, different meaning.
external review is the appeal after insurance says no
Disagree. What you are describing is consistent with step therapy, not with what you concluded.