external review is the most under-discussed thing in c/glp1muscle
Week 78 update. 19kg down from the start, early fullness basically gone since about week 23.
Things that worked: consistency, protein at breakfast, walking more than I want to. Things that did not: everything I bought on the internet to help with early fullness.
The part that surprised me is how much of this is admin. Ordering, storing, logging, remembering. Nobody mentions that the hard bit is not the drug, it is the routine.
Happy to answer anything. Please do not ask me what dose you should be on.
best — the order this archive was captured in
Strongly agree. Step therapy is predictable if you have the criteria.
Which plan type? copay is different.
Did you get step therapy or outright denial?
say which country and which plan type
Small correction: the trial was 4 weeks, not 23. Does not change your point but people will quote it.
resubmission after denial requires new documentation
External review overturned the denial. Took 10 weeks but the process exists.
do not suggest misrepresenting a diagnosis, that is fraud
I am going to push back on this slightly.
do not suggest misrepresenting a diagnosis, that is fraud
I am going to push back on this slightly.
Strongly agree. Step therapy is predictable if you have the criteria.
Strongly agree. Step therapy is predictable if you have the criteria.
denial reason codes matter, ask for the actual code
Strongly agree. Step therapy is predictable if you have the criteria.
redact member ids and group numbers from every screenshot
Removed a chain here. The rule is one line long and it is not negotiable.
the carve-out clause varies by employer
appeal letter templates are in the wiki
New Zealand plan: step therapy required 18 medications first. Did them all, got approval. The order matters.
step therapy documentation is the weapon, use it
You have restated the marketing copy. What is the actual substance here.
say which country and which plan type
This is correct. Appeal letters work.
appeal letter templates are in the wiki
say which country and which plan type
This is correct. Appeal letters work.
This is correct.
Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.
- 1New Zealand plan: step therapy required 18 medications first. Did them all,…7 comments in this branch · started by u/bence_zielinski
- 2Strongly agree. Step therapy is predictable if you have the criteria.6 comments in this branch · started by u/kasper_cabrera