[Denied] reason code says "not medically necessary" at BMI 38. sure.
Been lurking in c/glp1eu for about 14 months and finally have something worth posting.
Short version: week 96, 1.7mg, and formulary is the bit I still cannot get a straight answer on. I have read the wiki, I have read the last 35 threads, and the answers split roughly down the middle.
What I actually want to know is whether the people saying it does not matter have measured it, or whether it is just repeated confidently. Happy to be told I am overthinking this — I probably am — but I would rather overthink it now than at week 7.
best — the order this archive was captured in
The practical rule people converge on is 28 days at fridge temperature after first puncture, and that comes from the preservative, not the peptide.
prior auth criteria are state-specific, copay differs
Yeah, the denial code matters, it tells you what to fight.
Removed a chain here. The rule is one line long and it is not negotiable.
External review overturned the denial. Took 14 weeks but the process exists.
Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.
Titration speed is a side-effect dial far more than an efficacy dial.
external review is the appeal after insurance says no
Which state? Coverage varies.
Did you get step therapy or outright denial?
Titration speed is a side-effect dial far more than an efficacy dial.
- 1external review is the appeal after insurance says no6 comments in this branch · started by u/marta_vanhecke