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massulo52

12/10/18 4:23 PM

#166511 RE: cmm3rd #166503

Should this endeavor be coordinated with Amarin...
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jessellivermore

12/10/18 4:44 PM

#166518 RE: cmm3rd #166503

cmm...

Thank you...Would our efforts be better spent educating the insurance carriers Rather than the public?...Good question..

I would say "no" for one important reason...There are more who qualify as interested public than there are who qualify as policy makers for insurance companies. Insurance companies have access to the same information we do and there is no question they know about R-I and that they know the difference between Lovaza and Vascepa...My insurance company was changed to CVS Silver Scrips and was changed from Teir 4 to Tier 2...When my PCP asked for a review...And I did not have high trigs...

Insurance companies will try to get away with everything they can if no one challenges them...Look at the life insurance scandal when the insurance companies kept the insurance money on policies if the beneficiary did not make a claim..Even though the insurance companies knew who the beneficiaries were...

Insurance companies will throw anything they get from a "lay blog" right in the shredder and won't spend one minute reading it..The insurance companies already know all about R-I and it's lifesaving benefits...and also know Lovaza is piss, but they are not in for the love of the fellow man..Right now they can save money by giving people a placebo and if the patient has a heart attack he did not need...Well its the doctors, the FDA at fault...If they took Lovaza off the market and mandated Vascepa don't worry, the insurance companies would be paying for it...

Right now we have a better chance of educating consumers and maybe its only a little thing, but if we can save a life here or there we are not wasting our time...

":>) JL
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Babr

12/10/18 8:09 PM

#166546 RE: cmm3rd #166503

CMM Thanks for making the effort and following up on this, I have done the same in the past as far as appealing ,sending documentation ,having a talk with one of these prescriptions managers programs Medical doctor to no avail, I still don’t understand how prescription coverage is different for different plans. In some situations I’ve had no problems writing a prescription no questions asked Fully covered , Low co-pays. That is also true for some of the other tests etc. But for some other plans there are much more restrictions unfortunately at this point majority of the plans are creating difficulty for my Vascepa patients ,and I have to say that I don’t have a lot of patients on this drug because that is not my primary specialty .Bottom line the label change would solve this issue.