The new insurance requires me to use a different specialty pharmacy for the Kesimpta. I asked for a new prescription last night via MyChart, and just had a productive conversation with the pharmacy (Optum):
- they asked whether I'd been off Kesimpta, because what they can see is that they were sending it to me in 2024, and not last year, so I explained that
- we went over my list of medications, which was missing at least one thing, and had one I'm no longer taking
- the doctor wrote the prescription for a 90-day supply, and the insurance will only cover a month of this at a time
- the doctor sent them a prescription for the initial 'loading" dose, and they need to go back to the neurologist and clarify that
However, so far this has been remarkably efficient: less than 24 hours from me messaging the doctor, to me talking to the pharmacy. Whether the insurance company will cause delays by demanding "prior authorization," I don't know.
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