[Susan L]

Originally Posted by Neil Cuadra

I don't know the specifics of your situation, but the general advice I've heard is to appeal denials of coverage if you don't think a substitute will be as effective. When patients pursue appeals, armed with letters from a doctor documenting the need for a medication, a good number of insurance decisions are reportedly reversed.

Thank you for the advice - I called my Dr last night, they are going to appeal this decision. I was just so upset that it is October and they are denying after approving it since May. I will let you know the decision.