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insurance coverage for Arikayce
Did anyone succeed in having their health insurance cover Arikayce WITHOUT having a positive sputum sample six months after starting meds? Is producing a positive sputum sample after commencing antibiotic treatment the only way to get insurance to cover Arikayce?
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Why do you think you need the Arikayce if you don’t have a positive sputum? Does your CT suggest your sputum has not culture converted? Arikayce is not a walk in the park so I would want to know I really needed it before starting it.
I was diagnosed via bronchoscopy and haven't produced a positive sputum sample since; my sputum samples seem to be mostly if not entirely saliva. I doubt they are reliable and the CT after six months of antibiotics shows slight improvement at best. That could be attributed to airway clearance, which didn't become part of my lifestyle until after the previous scan. So I don't feel confident that the current antibiotic regimen is working. I'm evaluating if it's possible to try Arikayce without getting another bronchoscopy now because I may want a bronchoscopy with biopsy next year, pending results of a follow-up CT.