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Does anyone have trouble getting Humira approved?
Autoimmune Diseases | Last Active: Mar 16 9:17am | Replies (10)Comment receiving replies
@pm56
Hi, her clinic has an onsite pharmacist that handles all the appeals and works on getting all the back up documents needed. They are now working on the second appeal and then will need to go to external review. The process takes soo long with each appeal that there is potential for her to run out of doses which is what she is coming up against right now. It's possible AbbVie will help fill in those gaps while she waits. Thank you for all your information! It's just so frustrating & seems that they just don't look at it at the human level of people just trying to live their lives, take care of kids, go to work, etc., all to save a little bit (when she last checked, RinVoq and Humira are close in price) Anyway, thank you again!!
Replies to "@pm56 Hi, her clinic has an onsite pharmacist that handles all the appeals and works on..."
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@lisanoelg1 For what it's worth - Rinvoq is supposed to be an excellent DMARD as well. I've been on both (it's just unfortunate I developed a DVT within a week of starting Rinvoq - but it's also close to the time I'd had Covid, so it was difficult to tell which was the cause, but because of the timing, I was advised to discontinue to the Rinvoq). Either way, hope she gets what she needs with less hassle. Or . . . just a thought, does she have the option to change her insurance? They're all painful to deal with, but maybe the pharmacist can point her to one that is better to deal with when it comes to getting drugs approved.