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mrmainstreet

04/30/15 12:15 AM

#48497 RE: Nukemtiltheyglow #48490

Hi Nuke, I got the script from my doctor and he even sent in a preauthorization, he's not the problem. Regence wants me to try something else first. I'm going to try and fight it direct to the insurance company.
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sts66

04/30/15 3:13 PM

#48555 RE: Nukemtiltheyglow #48490

His doctor cannot control whether his insurance company will cover V w/o first trying Tricor or not, not the doc's fault. He either needs a pre-auth letter, or as some suggested, fake taking Tricor - likely has to actually get a partial fill of the scrip or the insurance company will know he actually didn't take it, against their instructions/rules, whether they make sense or not, may constitute insurance fraud - then report to his doc one of the common nasty side effects so he can get insurance approval to get V. No other way around it - the fraud issue is very real, could lead him to lose his coverage.