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Experience with Insurance denial of Mydaysis (or other medication) process from denial of prior authorization to 3 level final review?

midwestvol profile image
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My insurance company has denied a new prescription for Mydaysis. My provider believes it will help with my Adderall ER tolerance. Ultimately the denial was upheld although I have taken EVERY adhd medication with the exception of Focalin (currently taking to move process along with NO success) and Strattera. So now I can do an external review with an independent company or try and fail the two medications for 12-24 weeks for therapeutic effect. Does anyone have any experience or suggestions on fighting this process?

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