denial: what the trials say vs what this community says
Something I noticed reading old threads that I have not seen said out loud. The advice on formulary in this community changed substantially around the start of last year, and nobody went back and updated the older posts. So depending on which thread the search engine hands you, you get two contradictory answers with…
Yeah, the denial code matters, it tells you what to fight.
That is net peptide content, not purity. Different number, different meaning.
the carve-out clause varies by employer
Small correction: the trial was 22 weeks, not 12. Does not change your point but people will quote it.
External review overturned the denial. Took 3 weeks but the process exists.