** Originally posted by merito **
My derm told me that if I had some signs of joint pain that I would be much more likely to get it covered. Then he asked me (with a wink-wink, nod-nod) if I had morning stiffness or pain, redness, swelling in my fingers/toes. The questioning went like this: "Do you have any pain or stiffness in your fingers or toes?" "Does it help me get Enbrel covered?" "Yes." "Well I do then". "OK" ...
Mine was covered with Cigna without so much as needing a doctor approval. Just $5 a month for a $1200 prescription.
So if your derm is not willing to help you get it approved by all means necessary, I would find a new derm. It's just a matter of time before it is approved for P, so I don't even see this as unethical.
I have been asking for Enbrel for years. The same derm would not even prescribe it to me 6 months earlier because he said it would not be covered. Then at some point just before my last visit he got a visit from the Enbrel sales rep. Must have been a good rep.