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c/insurancefights·submitted 5 months ago by u/tuva_kirchner

[Results] 7 weeks, 41kg, and formulary was the hard part

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appeal. That is the whole post, but I will justify it. Everything else people worry about in c/meta is downstream of it. Titration speed, early fullness, the endless dose arguments — most of it resolves if you sort appeal out first, and almost nobody does. I say this having got it wrong for 15 months. My A1c was the…

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5 comments, started 5 months ago
u/tidy_vialdrawer_watch46 points·5 months ago

Water content matters more than people think. If a vial is carrying residual moisture, your "10mg" is not 10mg of peptide.

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u/tuva_kirchnerOP-15 points·5 months ago

step therapy documentation is the weapon, use it

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u/nikhil_asante1 point·5 months ago

the carve-out clause varies by employer

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u/RetaAndRegret21 point·5 months ago

say which country and which plan type

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u/tuva_kirchnerOP1 point·5 months ago

formulary exclusions are negotiable sometimes

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About c/insurancefights

The paperwork war. Prior-authorisation criteria, denial reason codes, step-therapy documentation, external review, employer carve-outs, and the appeal letter templates the community has iterated on for three years. Mostly US-shaped but the tactics generalise.

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