1 reviews | Active since Jul 2016
Chronic Benefit Approval for Expensive Medicine
I suffer from eczema and cannot use cortizone on an extended basis due to bad side effects. My dermatologist advised me to use an ointment called Protopic which does not have the side effects of cortizone, but the drawback of Protopic is it's very expensive. I sent in a request for GEMS to approve the use of Protopic on the chronic benefit. Obtaining it on the Acute limit depleted the funds within a few months due to the cost. GEMS initially declined the request but stated they would reconsider if further information was provided by the Dermatologist. After submitting the first motivation I was approved for 2 tubes a year, which would be too little as I need Protopic monthly. After submitting a second motivation I was approved for Protopic monthly for an entire year. I am very thankful for this as it will allow me to keep the eczema under control. I would not be able to afford it on a monthly basis otherwise. Thank you GEMS for the positive outcome, I really do appreciate it.
