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Re: cmm3rd post# 166663

Wednesday, 12/12/2018 12:42:49 PM

Wednesday, December 12, 2018 12:42:49 PM

Post# of 447511

After relevant, scientific information has been supplied to the PBM/insurer and is in the complaint file, it could become hazardous for them to continue such misleading practices



Now we're talking about two distinct things - what you wrote infers complaints to insurers from patients who were told they had to take GL instead of V, whereas the original discussion was just about insurers covering V or not, and on what tier. You could make a good argument that V and GL aren't interchangeable, but who are you going to complain to, and what kind of authority do they have to force insurance behavior to change? Whether I like it or not, I still believe insurers, as commercial companies, have the right to cover or not cover whatever drug they please - customers will vote with their feet if they don't like those decisions - so legally, you can't force them to cover any specific drug.


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