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c/glp1canada·submitted 2 years ago by u/lipid_panel_larry

[Meta] proposal — a flair for private plan posts

Questionbranch of 7 comments

proposal — a flair for private plan posts. Disagreement welcome, but bring a concrete alternative wording. Quantity limits restrict how much may be dispensed in a period even where coverage exists. They are a distinct barrier and require a distinct request. Employer-sponsored plans have their own criteria and appeal…

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7 comments, started 2 years ago
u/lane_watcherMOD317 points·2 years ago

Pharmacy staff name removed. The pharmacy can stay in a pricing post.

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u/emil_okwuosa245 points·2 years ago·edited

Pharmacy staff name removed.

Adding the fastest step — ask the pharmacist. They can usually check in minutes.

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u/egfr_watcher62 points·2 years ago

What did the denial actually say?

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u/isabela_guerrero55 points·2 years ago

compare cash prices before assuming coverage is the only path

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u/ayesha_radich70 points·2 years ago·edited

compare cash prices before assuming coverage is the only path

isabela_guerrero is right that a rejected claim and a denied authorization are different animals.

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u/tobias_vukovic193 points·2 years ago

Criteria changed at plan renewal and the denial that had been immovable simply did not apply any more.

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u/elin_varga149 points·2 years ago

Agreed. Province first — coverage is a provincial decision and national answers are wrong somewhere by construction.

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