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ForumsInsurance & AccessPrior auth denied for the 3rd time - what am I doing wrong — my results so far Page 2

Prior auth denied for the 3rd time - what am I doing wrong — my results so far

PharmD_Rodriguez Fri, Sep 26, 2025 at 2:12 AM 12 replies 1,178 viewsPage 2 of 3
kate.chem
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Sep 26, 2025 at 5:02 AM#6

Congrats PharmD_Rodriguez!! Keep going — you're doing incredible. 🎉

Last edited: Sep 26, 2025 at 8:02 AM
34 8steve_okc, dave_SLC, FDA_TrackerJim and 31 others
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Dr.GastroMayo
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Mayo Clinic, MN
Sep 26, 2025 at 5:19 AM#7

Clinical perspective on Prior auth denied for the 3rd time -:

I have managed roughly 300 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that proper titration prevents most adverse events.

For this specific question, I would recommend: reviewing the relevant clinical guidelines.

7 8VendorMark, COA_Karl, MikeFit_NJ and 4 others
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amy_econ_NJ
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May 2024
Princeton, NJ
Sep 26, 2025 at 5:36 AM#8

This thread is incredible for Prior auth denied info. Better than most online groups.

40 13sean_dublin, hannah_MT, Dr.SportsMedIN and 37 others
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matt_MKE
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Sep 2024
Milwaukee, WI
Sep 26, 2025 at 5:53 AM#9

Reading this thread on Prior auth denied for the hits close to home. Dad of 2 checking in — I started at 289 lbs and felt like I would tried everything.

15 months on tirz and I am a different person. Not just the 64 lbs lost — my energy, my mood, my relationship with food. All transformed.

If you are on the fence about Prior auth denied — take the leap. It was the best health decision I have ever made. ❤️

13 3carl_compliance, DanielChem_CHI, marco_milano and 10 others
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SaraMom3
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Aug 2024
Ohio
Sep 26, 2025 at 6:10 AM#10
kate.chem said:
Keep going — you're doing incredible

This is exactly right. kate.chem articulated what I have been trying to explain to my doctor for months. The Prior auth denied for the aspect is the most important factor.

Last edited: Sep 26, 2025 at 10:10 AM
15 2ZaraB_AL, JakeSmashed95, NauseaFreeNow and 12 others
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