[ConservativeMind]

There’s a bit more at the link, but this is a good set of ways to get your off-label medicine covered.

[ConservativeMind]

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[Southside_Chicago_Republican]

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[GaryCrow]

PBM’s need to be removed from the process all together. Insurance companies have no business deciding what medication a patient needs, that’s what their doctor is for. These PBM’s need to be reigned in, they’re killing people to save a few bucks.

[Tacrolimus1mg]

At the pharmacy where I work, docs are constantly being sent Prior Authorization requests. I’ve seen months go by waiting to hear back from insurance companies for some people.

You can get meds covered this way if programs like GoodRX or Paramount are still too expensive, but we lose tons of money on GoodRX. The PBMs make all of the money, while the pharmacies make very little in comparison. $0.67 profit per RX at my company this last year.

And it’s a toss-up whether or not your insurance approves it at all.

[LastDayz]

Just what people need.... more BS administrative hoops to jump through. I suppose we pay insurance premiums so some nameless and faceless bureaucrat can say yea or nay regardless of what the doc, in his/her professional opinion, recommends.

Another broken system that is entirely too top heavy with useless eaters.