You have taken the same medication for the past 7 years and it is working well. Suddenly, you are notified by your insurance company that it is no longer covered and to continue receiving it, your doctor must simply fill out a preauthorization form. How difficult can that be? The pill works, has always worked and you do not wish to change to a generic or cheaper alternative.
Unfortunately, it is not so simple. Preauthorization requires that your physician must show that you have tried and failed all the covered alternatives, and document when they were prescribed, and what the failure consisted of. Since you have never tried an alternative, the form cannot be filled out in a way that will be successful and result in a renewal of your prescription. Frustrating for both patient and doctor – the new reality 2014.Leave a reply →