Just this weekend I received a letter from CVS Caremark indicating that 'they have denied my doctor's authorization for a new script for Sprycel as the Current Plan approved criteria does not allow coverage of Sprycel if the chronic myeloid leukemia cells are note Philadelphia chromosome positive and/or BCR-ABL positive.' But... 'you can choose to receive the medicine at your own expense'. In the middle of trying to figure this all out - waiting for my doctor's office to call me back. After dealing with the side effects and being told I needed to stay on it for the indefinite future as my doctor didn't feel there was sufficient support to take me off, I finally reconciled myself to just dealing with the side effects as the alternative could be way worse. Now this. As if the diagnosis of CML and the medicine weren't enough of an emotional roller coaster, insurance needs to stir the mix. I have CDPHP, but scripts are thru CVS Caremark. I can switch over to MVP for 2017 - but I am told CVS Caremark (who sent me the letter about no coverage for Sprycel) manages scripts for them too. My head is spinning.
Has anyone else had an issues with Insurance?