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Old Sat Aug 20, 2016, 05:11 PM
Neil Cuadra Neil Cuadra is offline
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Join Date: Jul 2006
Location: Los Angeles, California
Posts: 2,553
At least in the United States, there are two steps that a patient can take when drug coverage is denied.

One is to work with your doctor, first to confirm that the drug is needed (and that the need is ongoing when that's the case), and second to have to doctor provide documentation or a letter stating these facts.

Second is to appeal the government or insurance agency's coverage determination, using the doctor's statement as your evidence. If they deny it again, appeal that as well. Patients who keep after it and are careful to follow all the appeal procedures often meet with success.
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