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Mr1979

04/07/21 8:12 PM

#333775 RE: zmanindc #333761

How is it possible they can refuse to cover this? Is this refusal in any way related to the ongoing litigation and is this UHC basically saying they don’t want to get sued ?
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lizzy241

04/07/21 8:16 PM

#333779 RE: zmanindc #333761

They're stupid. I remember about a yrs ago when I was insured by uhc the rep on phone recommend gl or fenofibrate. She had NO idea what she was talking about.
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HinduKush

04/07/21 8:35 PM

#333789 RE: zmanindc #333761

Zman,
Amazing United Health like the vast majority of third party insurers put cost over all else including their subscribers well being. Apparently, JELIS and REDUCE-IT did nothing positive for them and STRENGTH VITAL and OMEMI didn't dissuade them from using the generic EPA/DHA combination omega 3 ethyl esters. Notice how they put the drug under cholesterol and lipid-lowering, not CV risk reduction. In the United Health world the only purpose of omega 3's is to fix the elevated TG value and to prevent pancreatitis 12 weeks at a time.
There is a malignant genius at work here.
HK
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iryokabu

04/07/21 8:49 PM

#333805 RE: zmanindc #333761

Vascepa has footnote 1

1 Step therapy or prior authorization may be required prior to coverage.
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rafunrafun

04/08/21 8:17 AM

#333871 RE: zmanindc #333761

Z - I'm behind in my reading so this may have been already answered.

V & gV are being dropped for the TG lowering only (TG > 500). V is still covered for the CVD indication.