“ silly buggers “ !!! Displaying your UK / Commonwealth background . You’ll probably need to translate for the colonials . Bottom line tho which is a real concern .. Insurers raising tiers or limiting access ... be interesting if / when it shows up in weekly scripts Kiwi
Bingo. And agreed- most people have "some" level of atherosclerotic plaque especially if they are required to take a statin, but like you said you would have to go through imaging studies to confirm it.
To your second point- from my understanding a clinical Peer to Peer review with BCBS requires a lengthy process. The request to fill Vascepa at the pharmacy must be denied- then the initial prior authorization (done by the dr's office) must be denied. Afterwards a written appeal (also done by the dr's office) must be denied and only then will the insurance agree to a clinical Peer to Peer with your doctor. That could take weeks and the success rate of a peer to peer are generally low which is why most doctors don't consider doing them.
This was a bigger blow to Amarin's profits than most people are aware.
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