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mochi90

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So I went to PP and was prescribed T, but the pharmacy is saying my insurance won't cover it. The doctor put in for a prior authorization, but she said it could take a week at most for it to go through.

I, literally, do not know what I'm going to do if this doesn't go through. I can't afford to pay for the T out of pocket, and the thought of staying a girl just fills me with dread and hopelessness. 

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  • Forum Moderator

Ok a week isn't a long time so hang tight for a while to find out the determination.  It may take longer than that, so be patient.  I understand it is difficult.   If it doesn't go through speak with the people at PP to see if there is some other program you could be involved with that will assist you with the expense.

 

Jani 

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6 hours ago, mochi90 said:

the thought of staying a girl just fills me with dread and hopelessness. 

 

This would be impossible, as you are not a girl now. 

 

Robin.

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11 hours ago, mochi90 said:

the pharmacy is saying my insurance won't cover it.

Sometimes certain meds take a couple of days to a week to process properly through insurance companies. I’ve had this happen before with my favorite pharmacy when I was prescribed Progesterone . I called the doctors office and they told me their own pharmacy would put it through , and it worked. My pharmacy called about 3-5 days later and left a message saying it went through. I bought the refill at my pharmacy the following month, I even saved $35 ! 

Have you tried calling your insurance company to ask them if they cover it and why not if they don’t? If they don’t cover it, I agree with @Jani, check with a program, or a LGBTQ organization that could help you find a way to help you. 

Best of luck, don’t be discouraged or disappointed, hopefully it all works out.

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  • 2 weeks later...

So, for some reason, it took two weeks for the prescription to be approved. I just got the approval notice in the mail yesterday, and it says my insurance will cover my T prescription until this time next year. 

I have my first shot scheduled for next Friday. 

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  • Forum Moderator

Congratulations.  it sounds like the gate keepers have opened the road.  Enjoy your journey!

 

Hugs,

 

Charlize

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1 hour ago, mochi90 said:

So, for some reason, it took two weeks for the prescription to be approved. I just got the approval notice in the mail yesterday, and it says my insurance will cover my T prescription until this time next year. 

I have my first shot scheduled for next Friday. 

Congrats! That's really exciting.

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