I saw my gastroenterologist about my gastroesophageal reflux disease (GERD). He gave me samples of Dexilant and wrote a prescription for it. Within three days of switching to Dexilant, the chronic cough was gone. The insurance company, different than the one I had before, required prior authorization for Dexilant. The insurance company would not cover the prescription until I tried three other medications. My doctor gave me prescriptions for the medications, one after the other and they did not work. Then the insurance company informed us that trying each medication means 8 weeks taking it once per day, then 8 weeks taking it twice per day. That works out to 48 weeks of trying medications we already knew would not work, before I could hope to get the medication we already knew did work. By the time the 48 weeks elapsed, the insurance policy ended, and I had to get a policy with a new company, who wants me to jump through the same hoops. More than a year after trying to get Dexilant, I still have my chronic cough and no hope in sight of actually getting the medication I need. Without an effective treatment for GERD, I am at increased risk of several problems, including esophageal cancer.

– Lyle S., Missouri
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Have you ever gone to the pharmacy to fill a prescription only to be told that your insurance company requires approval before they'll cover your treatment? Have you ever waited for days, weeks, or months for a test or medical procedure to be scheduled because authorization from an insurer? Or are you a physician frustrated with the administrative headaches and their impact on your patient?

Prior authorization is a burden on patients and physicians alike. The process is confusing, time consuming, and — most importantly — can cause delays in patients receiving the care they need.

Please tell us know how prior authorization has impacted you. We are looking for stories from patients and physicians to highlight and draw attention to this issue that is impacting the health of so many Americans.

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