GLPHubglpresearchhub.com
Read-only archive. GLP Research Hub is a static community record — nothing here is for sale, no account is needed, and no vote you cast is counted. Why?
Single comment threadYou are looking at one branch of unpopular opinion: formulary is massively overrated — 61 comments in the full submission. View in context.
908
c/insurancefights·submitted 8 months ago by u/fabio_kuipers

unpopular opinion: formulary is massively overrated

Discussionbranch of 6 comments

Trying to settle this properly because the thread from last year went in circles. The claim: formulary matters. The counter-claim: it is measurement error. Both sides have been asserting it confidently for about 11 months without either producing anything. What would actually settle it is 7 people measuring the same…

Read the full submission and all 61 comments →

This branch

6 comments, started 8 months ago
u/kasper_cabrera22 points·8 months ago

Crossposting this to c/cryptopay because the people who need it are not reading this community.

replysharereportpermalink
u/ireland_drugs_pay11 points·8 months ago

formulary exclusions are negotiable sometimes

replysharereportpermalink
u/ilias_cabrera9 points·8 months ago

resubmission after denial requires new documentation

replysharereportpermalink
u/formulary_fighterappeals7 points·8 months ago·edited

No. This is the kind of confident post that gets copied into a screenshot and repeated for years. Where is the evidence.

replysharereportpermalink
u/amylin_amyamylin4 points·8 months ago

copay is separate from coverage

replysharereportpermalink
u/saskia_rahimi16 points·8 months ago

You have restated the marketing copy. What is the actual substance here.

replysharereportpermalink

← back to the whole thread

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.

46kmembers
95submissions
Dec 2023created
submissions / month, last year
Sponsored

Sigma-Aldrich Standards

Certified reference materials for peptide identity and purity work.

sigmaaldrich.com
More in c/insurancefights
c/insurancefights rules
  1. Say which country and which plan type. "Insurance" means eleven different things.
  2. Redact member ids and group numbers from every screenshot.
  3. Do not suggest misrepresenting a diagnosis. That is fraud and it gets you banned.
  4. Independent community. Nobody here sells anything, and anyone who tries is banned.
  5. Not medical advice. Describe what you did; never prescribe to a stranger.
  6. Claims need evidence. Batch numbers, dated screenshots, independent test reports, or a citation.
  7. No referral links, discount codes or affiliate URLs. Permanent ban, no appeal.
  8. No contact handles, wallet addresses or tracking numbers — they identify people.
  9. Be recognisably decent. Disagree hard, insult nobody.
Full rules and how they are enforced →
Moderators
u/prior_auth_painu/formulary_fighteru/appeal_letter_alu/step_therapy_s
Volunteers. Unpaid, unaffiliated, and reachable through modmail only.
Before you read on

Several compounds discussed on GLP Research Hub are sold for research use only and are not approved for human use anywhere. Nothing here is medical advice and none of it is written by your clinician. If a post reads like an instruction, treat it as a description of what one stranger did.

Full disclaimer →