Somehow, my doctor (neurologist, Dr. Wynn) has said or done something so that the refusal for Nuvigil has been reversed. I didn't call back, didn't complain at all, though I did tell his nurse about how mixed up the whole process was. Apparently, he made a call or sent a letter because I was notified that Nuvigil is approved now.
I don't know how, or why but I can tell you this guy is awesome.