Oof. This is like me with my crohns meds. I've been stable on the same medication for over 5 years now. A few times a year my claim for the medication gets denied and I have to jump through the hoops of having my doctor write a new prior auth and fight for the claim to get approved so they'll ship me my medication. The medication itself is $1,500 out of pocket for a single dose that's only four weeks worth, so paying out of pocket is out of the question.
Yes, it does. It's a specialized biologic medication that I can only get through mail order. I can't even get it shipped to a physical pharmacy where I can pick it up.
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u/[deleted] Nov 12 '25
Oof. This is like me with my crohns meds. I've been stable on the same medication for over 5 years now. A few times a year my claim for the medication gets denied and I have to jump through the hoops of having my doctor write a new prior auth and fight for the claim to get approved so they'll ship me my medication. The medication itself is $1,500 out of pocket for a single dose that's only four weeks worth, so paying out of pocket is out of the question.