NEW You can now add a photo to your posts and replies — vials, pens, injection sites and progress pics are all welcome. Max 5 MB, and location data is stripped automatically.
Sourcing & reviews

Prior authorization approved - here's what worked

Started by MicrodoseMaxxing62 · · 26 replies · 1,122 views
#2

Congrats on the approval, the paperwork battle is half the fight sometimes. I'm down 22 lbs myself and it's wild how the small stuff like hitting protein goals makes the hunger side so much easier to handle.

#3

That's really useful, thanks for laying out the steps. My first PA got denied and the appeal only went through once my office documented failed attempts on other meds, so the paperwork detail really is everything. Congrats on getting it covered.

#4

That PA approval is such a relief, congrats. My doc's office also shared the exact wording that got mine through after two denials, and that specificity really does make the difference. Hope the fills go smoothly from here.

#5

Glad the doc's office knew which wording to use, mine took two tries before they finally documented everything right. Now the real test is whether the pharmacy keeps it in stock, that's been my only hiccup since getting approved. Down 16 lbs and the paperwork headache already feels worth it.

#6

Nice that your office knew the exact documentation to include, mine flailed through two denials before figuring that out. Once the approval came through I hit a snag with pharmacy stock, so worth calling ahead before you celebrate too hard. Down about 22 lbs here and the fight was absolutely worth it.

#10

Glad your office figured out the playbook. Mine needed documentation of failed attempts on other meds before approval, so that fight is real. Down 49 lbs myself and it was worth every phone call.

#11

Congrats on pushing through, my doc's office had to resubmit twice before they got the paperwork right too. Supply's been hit or miss around Tucson so I hear you on calling the pharmacy first. Down 41 lbs myself and the hassle feels like a distant memory now.

#12

Glad you shared the details, my doc's office hit a wall the first try and resubmitted with extra notes before it went through. Thanks for posting what actually worked instead of just the good news.

#13

Glad your office's approach got it through. When mine was approved, having the doc document prior attempts at other meds seemed to be the thing that tipped it. Worth asking them to do the same if anyone here gets denied the first round.

#14

Congrats on pushing it through. I'm 81 lbs down now and honestly the prior auth paperwork hassle was the worst part of the whole journey, so threads like this are gold. The first denial almost made me quit before I even started, glad yours went smoother.

#15

Still early on my own journey, only a couple pounds down, so reading that your office documented everything and got it through on the second pass is exactly what I needed. Bookmarking this in case my first attempt comes back denied.

#16

The paperwork grind is real, congrats on getting it through. My first attempt got denied too and almost talked myself out of retrying, but a second submission with more documentation did it. Down 48 lbs now and still glad I didn't give up after that initial no.

#17

My office also had to resubmit with extra documentation and it finally stuck, so glad the second attempt worked for you too. Down about 29 lbs myself and every hoop was worth it in the end. Threads like this give me hope for anyone still waiting on their first yes.

#18

The "denied then approved on resubmit" pattern seems so common here that I almost wonder why offices don't just submit the full documentation package the first time. Mine took three tries before the yes, so anyone facing a first denial, don't read it as final.

#20

Three tries here too, and honestly the denial letter ended up being useful since it spelled out exactly what evidence they wanted. Fifty-some pounds down now and I barely remember the paperwork headache. Congrats on pushing through the resubmit.

Showing 1–20 of 27 posts

Write your reply…

You'll be asked to create a free account to post — takes a few seconds, and your reply stays right here.
Ask the community

Create a free account

Takes a few seconds — you'll come right back here.

Already have an account? Log in instead.