I was wondering if anyone has any experience with an insurance company / prescription substitution appeal. Allow me to explain.
In December of last year I received a letter, as I'm sure some of you have, stating that my insurance will no longer be covering Novolog and that I would need to use Humalog instead. I didn't really think anything of it at the time, I just informed my endo that Jan 1 I needed to switch and I started ordering Humalog Jan 1.
Well fast forward 4 months and to make a long story Humalog and I do not make a good pair. My A1C is up, I'm going low all over the place, the whole nine, it's not pretty.
Anyway I talked to my employer who was really cool about it and got back to me today with some information saying that I could try to appeal the substitution by getting my endo to state a case for an appeal.
So my question to the group is, has anyone done this? Has it been successful? Any pointers you could give me?
To be honest I'm almost afraid to ask my endo to do it, as it "feels" like he would be putting his neck on the line and I would hate for him to do that for me. My next appointment is not for another month though so I figure in the meantime try to gather as much information as I can. If any of you have any experience in this area I would love to hear about it.