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Kids With Special Needs and Disabilities
Reply to "United Healthcare not covering certain ADHD meds"
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[quote=Anonymous]right, it's an unfortunate situation when someone has to change. unfortunately not all doctors make good choices regarding prescribing. it would be a free for all without insurer and pharmacy and PBM guidelines. the best way to make sure members get appropriate and cost effective treatment is to have edits and policies in place. you will be hard pressed to find an insurer that just puts all of anything on a formulary. the guidelines are made by medical professionals that form a committee and vote on decisions. these are upstanding professionals with no skin in the game, unlike your doctor sometimes unfortunately. they do understand though that wasting employer or fed dollars on inappropriate or ineffective treatment just hurts everyone else. [/quote]
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