Probably 80% of the drugs I use are in the Wal-Mart cheap list ($10 for 90 days). Those I don't worry about. I figure pretty much anyone can afford them if for some reason insurance rejects them.

For others, I do much like above. If a patient wants to suggest an alternative, I'll consider it. If I have to play games, I won't, at least not without an appointment. Also, I rarely do PA's except for drugs like biologicals and their insane expense. I am not going to spend 20 minutes trying to get some guy's Viagra approved.


David Grauman MD, FACP
Flagstaff, Arizona