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29 April 2011 @ 05:44 pm
Rejection  
Ah, formulary season...

The formulary was submitted a few weeks ago and the first round of rejections were scheduled for this week. As of lunchtime, there was still no rejection and I was starting to be anxious about it... I'm just not sure what to do if I was denied a rejection...

I think I've been emotionally abused by CMS.

Anyway, I need not have feared. 3:40PM, the rejections rolled in - just 20 minutes before the deadline. *sigh* Overall, I am pleased. There are 24 rejections (on approximately 20 medications), most of which I either anticipated or don't have a concern about (I'm just not going to deny a cancer or HIV drug anyway, so if they want it added, I'll add it). There are a few though that I was hoping to get away with - not 100% expecting, but hoping... Mostly they are weird drugs or expensive administration formulations. I'll end up adding most of them, but there are a few for which I'm going to submit a formal justification. That's one of the most depressing aspects of this process. I'll give them seven good reasons I don't want a drug on the formulary and CMS will deny that I have cause in 97.3% of those justifications. Poo. But, it must be done and at least years of doing this has beaten any sunshiney hope out of me. 

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Current Mood: cynicalcynical