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Jasmin Sanchez's avatar

I felt this 🤍 Thank you for all you do!

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CG's avatar

Thank you for sharing this. As a patient with multiple chronic conditions I spend a huge amount of time ensuring that I know 1) what drugs are on formulary, 2) what is step therapy, 3)what needs prior authorization and, 4) when those authorizations should run out. Of course the formulary changes at least every 6 months and despite approving a medication for a year in a prior authorization, insurance companies often refuse to fill prescription and require new PAs.

I also love spending a year or two working through step therapy only to “get to the drug” only to find it’s no longer on formulary.

I recognize how much time and effort all this takes from the doctors office and I hate that the system has evolved into this. I’m a nurse who graduated in the late 1980s and became an advanced practice nurse the early 1990s. I’ve seen many improvements in healthcare, but I definitely don’t feel like the impact of insurance on practice has been overall positive.

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