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jessellivermore

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jessellivermore

Re: Toanoman post# 279793

Friday, 06/12/2020 3:36:51 PM

Friday, June 12, 2020 3:36:51 PM

Post# of 423928
Toanoman..

The drug plan or the doctor does not decide the drug plans actions..The drug plan determines the indication they are covering the script for by what is described on the drug label.If the doctor and the patient decide to use the drug off label..They can do that..But it is not going to effect the price or tier the drug plan determines..You may appeal the drug plan's decision, but that does not mean they will lower the price..I know..MY PCP appealed to Silver Scripts about my co pay (Tier 4) and explained I had several CVD issues..and Lovaza had no recognized CVD benefits..The company denied the appeal. On the basis Gen L had the same indications..And was a cheaper alternative

":>) JL
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