So my prescription insurance is though ExpressScripts. I have gone through every level of appeal and they will not approve Tec. The final letter actually states that since no head to head trial has been done between Tec and the Interferons there is no proof that Tec's are superior????? Huh - how can they say that - and how is anyone getting approved for Tec??? Isn't it my doctors decision what the "best" medicine is for me?? Is the general feeling out there that Tec is considered a drug to be used only after the failure of other drugs.
They are also claiming I have not "failed" copaxone - who the hell defines failure - isn't that my doctors decision? I have had enhancing lesions on EVERY SINGLE MRI the entire time I did Copaxone - over 9 months...and 3 MRI's...and that is not failure?
I am so frustrated...I am actually considering getting a lawyer but don't know if that is a waste of money. They actually said to me that FDA prescribing guidelines are being followed - but I can't fine any such guideline and neither can my neuro...I feel like they are just making it up.
I am so frustrated...depressed...bordering on hopeless...
They are also claiming I have not "failed" copaxone - who the hell defines failure - isn't that my doctors decision? I have had enhancing lesions on EVERY SINGLE MRI the entire time I did Copaxone - over 9 months...and 3 MRI's...and that is not failure?
I am so frustrated...I am actually considering getting a lawyer but don't know if that is a waste of money. They actually said to me that FDA prescribing guidelines are being followed - but I can't fine any such guideline and neither can my neuro...I feel like they are just making it up.
I am so frustrated...depressed...bordering on hopeless...
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