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Single comment threadYou are looking at one branch of switched from 10mg to 0.25mg and the constipation got better, not worse — 55 comments in the full submission. View in context.
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c/insurancefights·submitted 2 years ago by u/nnt_nate

switched from 10mg to 0.25mg and the constipation got better, not worse

Discussionbranch of 6 comments

prior authorization. That is the whole post, but I will justify it. Everything else people worry about in c/dosinglogs is downstream of it. Titration speed, early fullness, the endless dose arguments — most of it resolves if you sort prior authorization out first, and almost nobody does. I say this having got it…

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6 comments, started 2 years ago
u/wholesome_lurker86 points·2 years ago

I love that this community will spend 40 comments on a detail. That pedantry is why the numbers here matter.

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u/rekha_mbeki-35 points·2 years ago

I love that this community will spend 40 comments on a detail.

Adding to this: prior authorization is doing more work than the comment implies.

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u/honest_syringe1964 points·2 years ago

Strongly agree. Step therapy is predictable if you have the criteria.

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u/osman_ferrari18 points·2 years ago

I am going to push back on this slightly.

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u/teodor_duarte10 points·2 years ago

the carve-out clause varies by employer

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u/ignacio_vanhecke20 points·2 years ago

appeal letter templates are in the wiki

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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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