Canada: denial, and what it actually costs here
Been lurking in c/glp1eu for about 16 months and finally have something worth posting. Short version: week 60, 15mg, and appeal is the bit I still cannot get a straight answer on. I have read the wiki, I have read the last 37 threads, and the answers split roughly down the middle. What I actually want to know is…
Crossposting this to c/cryptopay because the people who need it are not reading this community.
Which plan type? step therapy is different.
Denied for prior auth, resubmitted with step therapy documentation, approved on appeal. The criteria exist, you just have to meet them.
Not convinced. The evidence does not support that reading.
step therapy documentation is the weapon, use it
Not convinced.
Adding to this: step therapy is doing more work than the comment implies.