A court determined that my patient's antipsychotic medication was necessary for preventing life-threatening behavior. The patient's family told me that they couldn't afford the medication without [prior authorization] through insurance. Insurance would not give me an option that met the patient's needs fast enough to reduce the risk of life-threatening behavior. It's a bit disappointing that the word "life-threatening," coming from the prescribing physician, isn't enough to move the ball when working with these insurance companies [on prior authorizations]. After hours on the phone with the insurance and pharmacy, well after business hours, our best option was to use an un-tested medication and a GoodRx coupon. I did not sleep well that night.