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01/24/21 11:47 AM

#320787 RE: rosemountbomber #320786

I haven't received a denial (sometimes took a peer to peer conversation) as long as they met all the FDA approved indications.

I have received denials if they don't perfectly meet the FDA indications- i.e. "off label". That could be a Trig of 149 instead of 150.

Since so much use of V is off label, it still is a problem.

Also, just because they may approve it on label it still may be a tier 4 and be prohibitively expensive for the patient.