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Reply to "Can someone help with this doctor and prior authorization snafu? "
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[quote=Anonymous] I was only in Wegovy from May-Sept and it changed my life. Mental health, weight loss. Insurance change on Sept 1 due to job change. I’ve been off Wegovy since then. My doctor submitted TWO “continuation of Rx” and it was denied. I called insurance and they said it should have been INITIAL. Now it needs an appeal (denied twice) but Dr won’t do it. I called insurance and they highly recommend having a doctor send it. But she won’t. I meet all the criteria: bmi is high and I have related weight issues. I’m so mad the doctor won’t write the appeal since she messed it up. Can I find another doctor to send the prior authorization (initial) or does insurance know I’ve been rejected twice? Is it by doctor or medication? I worry if I call again then I’ll be boxed out of finding another doctor. I’m frustrated and sad. Should I try Midi? Are online Dr better at getting approvals?[/quote]
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