Same shape here, different drug. The thing that helped was documenting the refusal rather than re-arguing it. They refer rather than write.

If it needs three other compounds to notice, you have not tested the first one.

Sleep first. Bad night, bad day, more symptoms. Fix that before changing anything else. Four months in on a short-dated batch and it lines up.

I would stop trying to convey how bad it is and start saying what you want them to do. How long have you been on the pharmacy register?

Imprint first, country second, colour last. And photograph both sides in daylight.