week 41 check-in — 32kg down, nausea manageable, one thing confusing me
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, muscle cramps, 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 wrong for 8 months. My triglycerides was the thing that eventually made me pay attention, which is a stupid way to learn a lesson that was in the sidebar the whole time.
best — the order this archive was captured in
Half-life is about 168 hours, so steady state lands around week 15–5. Practical consequence: what you feel in week 1 is not what that dose does.
Removed a chain here. The rule is one line long and it is not negotiable.
Denied for prior auth, resubmitted with external review documentation, approved on appeal. The criteria exist, you just have to meet them.
Sceptical. If this were true we would see it reflected in the data and we do not.
do not suggest misrepresenting a diagnosis, that is fraud
I am going to push back on this slightly.
Respectfully this is a sample of one presented as a finding.
redact member ids and group numbers from every screenshot
appeal letter templates are in the wiki
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Adding to this: copay is doing more work than the comment implies.
the UK plan: step therapy required 19 medications first. Did them all, got approval. The order matters.
external review is the appeal after insurance says no
external review is the appeal after insurance says no
Adding to this: external review is doing more work than the comment implies.
the carve-out clause varies by employer
Which plan type? formulary is different.
This is correct. Appeal letters work.
do not suggest misrepresenting a diagnosis, that is fraud
prior auth criteria are state-specific, appeal differs
The confident tone is doing a lot of work that the evidence is not.
Dead space in the needle hub holds a small but non-trivial volume. On low-volume draws that can be several units.
Half-life is about 168 hours, so steady state lands around week 14–5. Practical consequence: what you feel in week 1 is not what that dose does.
Disagree but this is the good kind of wrong — it is specific enough to be checked.
prior auth criteria are state-specific, external review differs
Crossposting this to c/cryptopay because the people who need it are not reading this community.
external review is the appeal after insurance says no
- 1appeal letter templates are in the wiki13 comments in this branch · started by u/ismael_nwosu
- 2Half-life is about 168 hours, so steady state lands around week 15–5.…4 comments in this branch · started by u/kasper_cabrera