[Results] 52 weeks, 35kg, and prior authorization was the hard part
Posting this because I searched for it and got nothing useful.
Setup: 7.5mg, week 35, sulphur burps present but not ruining anything. I changed exactly one variable — formulary — and tracked it for 12 weeks.
Result: a difference, but a small one, and well inside what I would call noise if someone else posted it. So I am putting it here rather than presenting it as a finding. If two or three other people have done the same thing we might actually learn something.
Not medical advice, obviously. This is one person with a spreadsheet.
best — the order this archive was captured in
Copay was step therapy for the copay then another 24% of the total. Read the actual plan document.
Yeah, the denial code matters, it tells you what to fight.
Tracking number removed. It identifies both ends of a shipment.
external review is the appeal after insurance says no
Strongly agree. Step therapy is predictable if you have the criteria.