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c/insurancefights·submitted 1 year ago by u/rekha_mbeki

formulary vs step therapy — genuinely asking which matters more

Questionbranch of 4 comments

step therapy. That is the whole post, but I will justify it. Everything else people worry about in c/dosinglogs is downstream of it. Titration speed, reflux, the endless dose arguments — most of it resolves if you sort step therapy out first, and almost nobody does. I say this having got it wrong for 15 months. My…

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4 comments, started 1 year ago
u/prior_auth_painMOD177 points·1 year ago

Tracking number removed. It identifies both ends of a shipment.

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[removed]132 points·1 year ago

[removed by moderator]

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u/prior_auth_painappeals-11 points·1 year ago

Small correction: the trial was 6 weeks, not 14. Does not change your point but people will quote it.

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u/nadia_trevino96 points·1 year ago

That is net peptide content, not purity. Different number, different meaning.

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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.

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