Bert -- my eyes just glazed over. I have no clear idea what you just wrote.
I only prescribe medicines that were available in 1986 -- even with those, we have insurance problems. Like doxycycline suddenly becomes "unavailable" or scandalously expensive.
I will prescribe specific meds that people have seen on TV, but I tell them that I will NEVER fill out a PA form for them. They are on their own.
I never do PA's, and I don't care about insurance formularies -- if there is a problem I ask the patients to call the insurance company and find out what the company doctor wants them to have. I always assume that the insurance company knows best -- after all, they have all the money, so they must be really, really smart.
