Doctor and insurance diabetes medication issues

[Anonymous]

I'm a type II diabetic. I was diagnosed back in February. I tried metformin and glipizide, but my a1c just kept going up and the meds gave me diarrhea (especially metformin). My doctor prescribed mounjaro back in April, but my insurance denied it.

I just switched insurance companies this month and tried to get mounjaro approved again. My doctor won't resubmit the chart notes and labs, saying he has already done it and that now it is my job to talk to my insurance company about it. When I talk to my insurance company, they say that they need to see the chart notes and labwork before they can approve any of the glp-1 drugs.

What do I do if my doctor isn't willing to resubmit the information to my new insurance company, but my insurance company requires it before approval of the drug?

Meanwhile, I'm living with an a1c of 9.1, and blood sugars frequently in the mid-200s.

I've been seeing this doctor for 9 years, and I previously thought we had a good professional relationship. I feel hopeless and depressed about this.

[Anonymous]

I have Type 2 diabetes. You need a new doctor. Mine said they never deny Mounjaro for diabetics. I switched recently from Ozempic. The office handled everything and it took a few days. I actually see a PA at One Medical for most appointments. She is great and is always an advocate.

[Anonymous]

Can you download your chart notes and submit them yourself? No idea if that’s how it works with insurance, but often you can find an option for downloads in medical portals.