the prior authorization question that gets asked weekly, answered properly
Quick one. Canada here. prior authorization works very differently where I live than in the threads that dominate the front page, and I keep seeing people confidently given advice that simply does not apply outside the US. Specifics: the route I used took 15 weeks and cost roughly what I expected. The admin was worse…
What was the denial code?
resubmission after denial requires new documentation
resubmission after denial requires new documentation
Disagree on that part. 96.8% and 96.2% on the same vial is normal.
This is the "correlation is mechanism" thing again. You changed three variables at once.
Poland plan: step therapy required 20 medications first. Did them all, got approval. The order matters.
step therapy documentation is the weapon, use it
Copay was formulary for the copay then another 2% of the total. Read the actual plan document.
Sceptical. If this were true we would see it reflected in the data and we do not.
external review is the appeal after insurance says no