Coverage question about a prior authorisation. The formulary changed in January and nobody told anyone.
Function beats pain scores in these conversations. “I cannot sit for twenty minutes” lands.
Has anyone got this through on appeal, and what did the letter actually say?
Reference ranges differ between labs, so comparing two reports is close to meaningless.
Ten percent cuts, of the current dose not the original. That is the arithmetic that keeps it survivable. How long have you been on a prior authorisation?
Same here.
Same here.
You have two changes at once here. You cannot attribute anything until one of them moves.
You are not imagining it and you are not being difficult. Document it and take the document in.
Ten percent cuts. Slower is faster.
Function over score.
Print the page.
Careful with attribution. You changed the timing, the dose and the season. That is three variables.
How do you tell the difference between the drug working and just a good week?