I’m trying to help a friend whose insulin was put onto a Tier 3 through her insurance carrier. The Tier 1 product doesn’t work as well for her and she wants to appeal to be able to switch back to the other insulin.
The carrier has told her that since it isn’t denied, she can’t appeal it. She can’t afford it at the higher Tier price.
Can she, with the support of her Endo, ask for an exception or is there any recourse?