[Question] Poland — has anyone got a straight answer on special authorization
Poland — has anyone got a straight answer on special authorization. I am not trying to be the "source?" guy. I would just like a source.
Spent three weeks on what turned out to be a quantity limit rather than a coverage question.
The pharmacist sorted in five minutes what the phone line had not managed in a fortnight.
Compared cash prices across four pharmacies before pursuing coverage and the spread was larger than I expected.
Tell me where this is wrong. That is the useful part of posting it.
best — the order this archive was captured in
Formulary criteria are revised, and plan renewal is a natural point at which a previously refused request may succeed without anything about the applicant changing.
the same product can be covered in one province and not the next
Have you asked the pharmacist to check?
Criteria changed at plan renewal and the denial that had been immovable simply did not apply any more.
Has your plan renewed since the last time you applied?
special authorization forms are published, read them before applying
Kept every form and reference number. When they had no record of a submission, I did.
Those criteria were revised at renewal, so the version quoted upthread is out of date.
quantity limits are as common a barrier as coverage itself
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Have you seen the special authorization criteria for your province?
Is there a quantity limit involved rather than a coverage refusal?
Province added to the title. Coverage is provincial and the thread could not be answered without it.
Was this a denied authorization or a rejected claim?
- 1Criteria changed at plan renewal and the denial that had been immovable…8 comments in this branch · started by u/emil_barros