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How to appeal for medication
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<blockquote data-quote="Indecisi0n" data-source="post: 4759163" data-attributes="member: 35289"><p>I was told differently. I spoke to a rep at Atena and was told "The doctor needs to write the script for the name brand and must specify that only the brand name is to be used". After that the insurance company will most likely require a letter from the doctor stating why he is writing it for the brand name and no generic. After that appeal process the drug will be approved.</p><p></p><p>The insurance company is not medically in a position to tell you what you are to take or not take. So your doctor has the ultimate say in this matter but you have to jump through a lot of hoops. I can see the insurance companies position as for me a drug that was going to cost them $1,000.00 a script as a brand name was going to cost almost nothing as a generic.</p></blockquote><p></p>
[QUOTE="Indecisi0n, post: 4759163, member: 35289"] I was told differently. I spoke to a rep at Atena and was told "The doctor needs to write the script for the name brand and must specify that only the brand name is to be used". After that the insurance company will most likely require a letter from the doctor stating why he is writing it for the brand name and no generic. After that appeal process the drug will be approved. The insurance company is not medically in a position to tell you what you are to take or not take. So your doctor has the ultimate say in this matter but you have to jump through a lot of hoops. I can see the insurance companies position as for me a drug that was going to cost them $1,000.00 a script as a brand name was going to cost almost nothing as a generic. [/QUOTE]
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