I've recently switched insurance, doctors, and pharmacies because of a move. I have been using Cromolyn Sodium for a year after not having used it for several years. I can tell it makes a difference in quality of life but not necessarily in terms of numbers. My insurance did a flat out denial with no appeal listed for the pharmacy (who say that's what they generally get when a medicine is denied). I have no proof that this medicine works.
My old doctor in another state and not on this plan can't write a letter explaining the proof that it's improved. My new doctor can't vouch that it has improved my condition. It's not terribly expensive out of pocket but every little bit counts. I'm on a PPO.
How do I go about a denial that doesn't show up as an appeal at the pharmacy, which is how it's always been done before. I don't even have a denial number. Part of me doesn't want to put up the fight on this med but that's probably just a factor of being sick from a virus. I don't understand how something the doctor prescribes that has no alternative available can be denied. Advair might also be a problem but it wasn't ready to be filled today.
My old doctor in another state and not on this plan can't write a letter explaining the proof that it's improved. My new doctor can't vouch that it has improved my condition. It's not terribly expensive out of pocket but every little bit counts. I'm on a PPO.
How do I go about a denial that doesn't show up as an appeal at the pharmacy, which is how it's always been done before. I don't even have a denial number. Part of me doesn't want to put up the fight on this med but that's probably just a factor of being sick from a virus. I don't understand how something the doctor prescribes that has no alternative available can be denied. Advair might also be a problem but it wasn't ready to be filled today.