@edie2716 I did an appeal and they said no because I don’t have an NK diagnosis. From my understanding there is not a lot of treatment options for ocular neuropathic pain so the best hope is to try tx from other diagnoses like migraine, NK, etc. but that makes it hard from an insurance perspective.

Thanks for letting me know about Tryptyr. I haven’t heard of that one. I’ll have to ask my optometrist about that. Did you ever try Tyrvaya? Also supposed to help tear production, but it didn’t seem to work for me.