@annewoodmayo Thanks for your responses! Apparently the insurance is using a study that showed SAria was more effective when combined with methotrexate when treating moderate to severe Rheumatoid Arthritis. Since my AI disease, Relapsing Polychondritis, is so rare, the rheumatologists use the protocol for treating RA which I have very mildly. If I had psoriatic arthritis, I wouldn't have to take Methotrexate! I am realizing how crazy our health care and health insurance really is! 🙂