Substituting lovaza without the physicians consent is practicing medicine without a license. Not malpractice. (Not trying to sound harsh here) Substituting lovaza with a doctors consent for the explicit reason of CVD risk reduction is infringement on valid patents. Period. Lem
Zman, What insurers are doing nowadays goes way past changing medications that the physician prescribes to suit their financial convenience. They are vicariously and surreptitiously redefining HOW medicine is to be practised in the USA. If the American public does not resist this machination, they will have their physicians cow-towing to the insurer's idea of best practice, and completely ignoring the patients best interest which is supposedly the physicians only interest. HK