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Has Anyone Who Was Affected By The Insurance Companies, Who Decided To Drop Certain Drugs That We Need,
went through the Prior approval if denied then you follow w/ the 2nd step where you ask for an exception. The Dr. Actually does these steps. Did your ins. approve it? What I am trying to figure out is if the ins. is dropping the med 100%, or is it worth the effort to go through these steps. Which is what I had to do before I could start any PAH specialty meds. because they are not on any drug formulary for any ins. co.
Insurance companies sometimes drop medications from their formularies, but it may still be possible to get coverage through prior authorization or an exception process. According to my knowledge base, some individuals with PAH have successfully appealed denials. For example, one member shared that their insurance initially Show Full Answer
Are You Aware How Some PH Meds Will No Longer Get Approved In 2025 By Some Medicare Pharma Plans?
Are There Any Members Who Were Affected By The Ins. Co. Decision To Drop Certain PH & PAH Meds?
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