mariposa13
Member
- Joined
- Aug 9, 2017
- Messages
- 10
- Reason
- PALS
- Diagnosis
- 03/2017
- Country
- US
- State
- TN
- City
- Nashville
Here's the reply I received from my doctor. The 1st sentence says it all. I'm getting my records and will find someone else. I just hate that all those other people who continue to see him will be treated this way. I have BCBS and I don't think they've imposed any restrictions thus far.
"I am aware of the FDA's approval of this drug for all patients with ALS. The drug was approved based on data from patients who had a FVC (breathing test) at or greater than 80%, a duration of ALS less than 2 years and a threshold score on the ALS-FRS symptom score. Last Friday, you did not meet qualifications for the drug in 2 ways based on the data submitted by the company for the drug approval. For this reason, I told told you on Friday that you do not qualify for the from the drug. I am willing to reconsider my decision, but it runs contrary to the results of the study and my judgement. Your insurance company must approve the drug unless you drug. A prior study of the drug based on the recruitment of more than 200 patients with ALS showed you would not benefit are willing to pay out of pocket for the drug and its administration (more than $150000). The study also showed that the drug works for 26 weaks. We do not know if it continues to be beneficial. Let me know what you would like me to do"
"I am aware of the FDA's approval of this drug for all patients with ALS. The drug was approved based on data from patients who had a FVC (breathing test) at or greater than 80%, a duration of ALS less than 2 years and a threshold score on the ALS-FRS symptom score. Last Friday, you did not meet qualifications for the drug in 2 ways based on the data submitted by the company for the drug approval. For this reason, I told told you on Friday that you do not qualify for the from the drug. I am willing to reconsider my decision, but it runs contrary to the results of the study and my judgement. Your insurance company must approve the drug unless you drug. A prior study of the drug based on the recruitment of more than 200 patients with ALS showed you would not benefit are willing to pay out of pocket for the drug and its administration (more than $150000). The study also showed that the drug works for 26 weaks. We do not know if it continues to be beneficial. Let me know what you would like me to do"