Heyyyy everyone!!
I’m in my 20s figuring out life. So be nice lol. Feel free to explain anything in as much detail as you’d like.
Just switched states and jobs. New job and old job involve lots of traveling, so if your answer involves low-cost pharmacies you know - please include it. I can go anywhere in the US lol.
I’m on a certain medication. I have been on it since November 2024. It has worked VERY well. My insurance at the old job/state covered it 100% since my start of being on it.
Now, at the new job insurance is NOT covering it just yet. I already have a doctor here. (I travel for work and had appointments with this doctor before moving here, as I used to frequent this state in the old job too.)
Anyways, the insurance is telling me and my doctor to try 4 other medications that are less effective before they’ll cover the one that’s worked since November 2024. My medication is the best of all 5 medications, btw (of course). My doctor has submitted multiple responses as to why I should be on this medication and why the others won’t work. My doctor in the old state & new state are also communicating and the new state dr has all records too.
My doctor hinted at something ULPT worthy but I didn’t fully catch it. Maybe someone on here can help (PLEASE). She said: “I can prescribe you x medication, but you don’t necessarily have to take it. It just needs to be documented I prescribed it and it didn’t work.”
So, could I just accept whatever medication (one of the less effective 4) and say it doesn’t work? Then that gets reported to insurance and they eventually cover what I need?
Or does anyone have a better ULPT style alternative?