Junior Member
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Join Date: Jan 2013
Location: US
Posts: 28
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Junior Member
Join Date: Jan 2013
Location: US
Posts: 28
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Anyone have luck fighting insurance company on requiring you to "try" a drug?
I'm on Avonex and doing amazingly well. Before I accepted a new job in Nov. I checked, same insurance plan, same doctors, same drugs ...golden. I had turned down a better job earlier in year just because Avonex wasn't on their formulary. New year & they switch insurance...Avonex is on their formulary but not preferred so they are denying saying I have to go on Copaxone. What do you do? It is totally illogical for them to mess with a therapy that works when it is on their own formulary. One hospital stay from an adverse reaction to a new medication will negate any kickback they get from the drug company. I travel alone for work and the idea of having some of the reactions I've heard about scares me. I've had hotel room doors broken down and ambulance trips alone to hospitals in other states before MS diagnosis. I have no desire to do this again because of a drug reaction from Copaxone. I have no more Avonex and no "emergency" doses left from the manufacturer...I don't want to relapse. I just want to cry. Any ideas?
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