u/AffectionateUse2657

Medicaid Denial for Kesimpta

Received my (26F) diagnosis last week and my doctor would like me to go on Kesimpta (this is also the medication I would like to go on) and naturally, Medicaid just denied my prior authorization. While I knew this was likely going to happen, I am just feeling incredibly defeated at the moment and worried that I will have to go through "step therapy", which we all know is simply not good medicine at this point. I have already messaged my doctor's office to ask them to fight Medicaid's decision and expressed that I really would prefer to avoid lower efficacy drugs at all costs. I also looked into Novartis's patient assistance programs but since I am on government insurance it doesn't appear I qualify for any of them.

This is mainly a vent, but I would love any and all advice for some other next steps I can take. This diagnosis is very new for me and I am still trying to navigate treatments and such. Thank you all!

reddit.com
u/AffectionateUse2657 — 1 day ago