@rosemarya, that is kind of what I meant about going around for the past 2 months between insurance/pharmacy and departments at Mayo. In September when the Dr. sent the prescription he also gave me a print out of his office visit summary and a request for preapproval / prior authorization for the med. In early October the pharmacy contacted me and wanted to know if I wanted to fill the prescription and pay it out of pocket or ask the Dr. for a prescription for one of the alternatives. I inquired about my Dr.’s request for preapproval / prior authorization and was told that they had already processed it and denied it. I was told I needed to have the Dr. send an “appeal”. I set out to work on that and started with the transplant center since I was seen by the Dr. in the transplant department (he also works in endocrinology) and I had his card with contact info from the transplant department. I haven’t tried contacting the social worker, but I did contact my pretransplant nurse coordinator. “It isn’t really a transplant issue” and I was told to contact the Dr. directly. I tried that too through the transplant center because that was the contact info on the card he gave me in September. I explained my issue to the receptionist that took my call. I got a call back later that the Dr. would be taking care of it in the week. I also got a very nice email/letter from Mayo patient online services dated October 17th. It was a letter from the Dr. reiterating the prescription, why it was necessary and requesting a preapproval/prior authorization. It also had an invitation for insurance to contact him. He used the endocrinology department contact info. That was mid October. At the end of October and early November when I tried to follow up on this with the insurance/pharmacy I was transferred all over both and told they could not find anything like an appeal from the Dr. dated October 17th. We even had two three way conference calls. One between me, insurance and a secretary at Mayo Endocrinology and one between me, insurance and someone in the transplant center. The Mayo folk didn’t know anything about the Dr.’s October letter! I’m sorry this post went on & on. I’m just aggravated. The last I heard was that perhaps insurance just hadn’t received the letter yet and someone there was going to check something and get back to me! I think I’ll take the issue to my local endocrinologist, maybe sooner than later.