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Forumsβ€ΊInsurance & Accessβ€ΊPrior auth denied for the 3rd time - what am I doing wrong β€Ί Page 2

Prior auth denied for the 3rd time - what am I doing wrong

SaraMom3 Thu, Apr 30, 2026 at 4:07 PM 6 replies 578 viewsPage 2 of 2
sarah.morrison
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Apr 30, 2026 at 6:57 PM#6
Dr.AddMedPHL said:
For Prior auth denied for the 3rd time, here is what the evidence says:The clinical trial data (SELE

Gonna push back on this one. Prior auth denied for the 3rd time is not that straightforward in my experience. I have been on this for 18 months and the reality is messier than the trials suggest.

Don't get me wrong β€” the medication works. But adherence is harder than people admit. We should be honest about that.

45 20josh_phd_bmore, roxy_nash, tony_orlando and 42 others
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BiostatsBrad
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Apr 30, 2026 at 7:14 PM#7

Adding my data to this Prior auth denied for the discussion:

MetricBaselineMonth 4Month 8
Weight274 lbs249 lbs199 lbs
A1C6.8%6.2%5.4%
hsCRP8.03.00.8

Protocol: Tirzepatide 15mg/wk, resistance training 3x/wk, protein 1.6g/kg/day.

2 5Dr.BariatricHTX, LindaRN_retired
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RickReta_CO
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Apr 30, 2026 at 7:31 PM#8

claudia_zurich β€” wow. I've been looking for this exact info for weeks.

45 18hyun_seoul, jim_asheville, matt_MKE and 42 others
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Dr.KarenChen
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Apr 30, 2026 at 7:48 PM#9

Slightly tangential to Prior auth denied for the but laura_annarbor reminded me β€” has anyone else noticed changes in their alcohol tolerance?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered β€” I did search first.

10 18mike.trainer_LA, sarah_nash92, FitDadDave and 7 others
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mike_mod
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Apr 30, 2026 at 8:05 PM#10

Moderator note: This thread has been getting great engagement. Please remember to cite sources when making clinical claims.

No issues to report β€” carry on. πŸ‘

Last edited: Apr 30, 2026 at 10:05 PM
31 18PurityPaulOR, MaxMetOK, MounjBrad and 28 others
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