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…
Disagree but this is the good kind of wrong — it is specific enough to be checked.
formulary exclusions are negotiable sometimes
Disagree but this is the good kind of wrong — it is specific enough to be checked.
Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.
redact member ids and group numbers from every screenshot
Water content matters more than people think. If a vial is carrying residual moisture, your "10mg" is not 10mg of peptide.
Denied for prior auth, resubmitted with external review documentation, approved on appeal. The criteria exist, you just have to meet them.