I just do not understand how they can deny him for Humira and then turn around and say that he must first fail at that before he can have the Cimzia. Naturally I got this letter at 4:30pm and the doctor’s office was already closed, so I will be calling first thing in the morning. The back of the letter said that we have 48 hours to provide the information otherwise they will make their judgement based on the info they have, which I assume means they will deny it. Hopefully I can get the doctors office to respond quickly so we don’t have to try another appeal. My poor husband was back in the ER this past weekend again! This is getting ridiculous! He won’t get better without medication and they won’t give him any!
I didn’ tell my husband about the letter because it will just work him up and the stress makes his pain worse and unfortunately his doctor doesn’t believe in pain medicine either. I figure there is no point in getting him worked up until we know for sure.