Treatment & Drug Resources
Browse our treatment and drug-specific pages for targeted guidance on fighting health insurance denials. Each page includes common denial reasons, evidence we can use in your appeal, and assistance programs.
All Resources
Appealing Abbott Volt PFA System Denials
Help appealing denials for this pulsed field ablation catheter for AFib treatment.
Appealing Aimovig (Erenumab) Denials
Step therapy shouldn't stop you from accessing the care you need.
Appealing Ajovy (Fremanezumab) Denials
Monthly or quarterly dosing can simplify life with migraine.
Appealing Allergy Immunotherapy Denials
Allergy immunotherapy is one of the few treatments that can modify the underlying allergic disease — appeal your denial.
Appealing Ambulance Transport Denials
If it was not safe to drive, ambulance care was not optional.
Appealing Aphasia Speech Therapy Denials
Aphasia therapy works — don't let your insurer cut it short.
Appealing Asthma Biologic Denials
For severe asthma, biologics can be the difference between stability and the ICU.
Appealing Bariatric Surgery Denials
Bariatric surgery treats a disease — it is not a cosmetic shortcut.
Appealing Bilateral Orchiectomy Denials
Help appealing denials for medically necessary bilateral orchiectomy.
Appealing Biologic Medication Denials
Help appealing biologic denials for conditions like RA, Crohn's, and psoriasis.
Appealing Blujepa (Gepotidacin) Denials
Help appealing denials for this first-in-class antibiotic for UTIs.
Appealing Botox (OnabotulinumtoxinA) Denials
Help appealing denials for medical Botox treatment.
Appealing Breast Augmentation Denials for Transgender Patients
Help appealing denials for gender-affirming breast augmentation.
Appealing Breast Imaging Denials
Early detection saves lives — denials shouldn’t stand in the way.
Appealing Breast Reconstruction Denials After Cancer
Help appealing denials for breast reconstruction after mastectomy.
Appealing Breast Reduction Denials
Help appealing denials for medically necessary breast reduction surgery.
Appealing Breztri Denials
Insurers often deny Breztri as 'non-formulary' or push step therapy first—here's how to fight back.
Appealing Brinsupri (Brensocatib) Denials
Help appealing denials for this first approved treatment for bronchiectasis.
Appealing CPAP Denials
Helpful for OSA patients denied CPAP devices or replacement supplies.
Appealing CT Scan Denials
Step-by-step help appealing CT scan denials, especially for urgent or diagnostic cases.
Appealing Cardamyst (Etripamil) Denials
Help appealing denials for this first self-administered nasal spray for PSVT episodes.
Appealing Cardiac Rehabilitation Denials
Cardiac rehab saves lives — it shouldn't be denied. Learn how to appeal.
Appealing Cardiovascular Risk Panel Denials
Help appealing denials for advanced cardiac risk testing.
Appealing Colonoscopy Denials
Colonoscopy denials can delay life-saving cancer screening—here's how to fight back.
Appealing Datroway (Datopotamab Deruxtecan) Denials
Help appealing denials for this TROP2-directed antibody-drug conjugate for breast cancer.
Appealing Dawnzera (Donidalorsen) Denials
Help appealing denials for this first RNA-targeted prophylaxis for HAE attacks.
Appealing Doxy-PEP (Doxycycline Post-Exposure Prophylaxis) Denials
Doxy-PEP is guideline-supported STI prevention for some patients — not experimental for everyone.
Appealing Dupixent (Dupilumab) Asthma Denials
Dupixent can calm type 2 inflammation when inhalers alone are not enough.
Appealing Dupixent (Dupilumab) Eczema Denials
Severe eczema is a systemic disease, not just a rash.
Appealing Eczema Biologic Denials
Severe eczema is not just dry skin — it is a serious inflammatory disease.
Appealing Edwards SAPIEN M3 (Mitral Valve) Denials
Help appealing denials for this transcatheter mitral valve replacement for inoperable patients.
Appealing Ekterly (Sebetralstat) Denials
Help appealing denials for this first oral on-demand treatment for HAE attacks.
Appealing Electrolysis & Gender-Affirming Hair Removal Denials
Hair removal is often required for surgeries — insurers still deny it as cosmetic.
Appealing Emergency Room Visit Denials
If it felt like an emergency at the time, the law is usually on your side.
Appealing Emgality (Galcanezumab) Denials
Chronic migraines are often under treated by insurance.
Appealing Enflonsia (Clesrovimab) Denials
Help appealing denials for this long-acting RSV antibody for infants.
Appealing Entyvio (Vedolizumab) Formulary Removal
Stable on Entyvio for IBD? Fight for continued coverage.
Appealing Exdensur (Depemokimab) Denials
Help appealing denials for this twice-yearly biologic for severe eosinophilic asthma.
Appealing Facial Feminization Surgery (FFS) Denials
Insurers often incorrectly classify FFS as cosmetic — appeals can change that.
Appealing Fertility Preservation Denials
Many insurers must cover this when medically indicated — appeals often win.
Appealing Flexitouch Plus & Advanced Pneumatic Compression Device Denials
For many people with lymphedema, advanced compression devices are medically necessary — not luxury massage gear.
Appealing Flow tDCS Device Denials
Help appealing denials for this at-home brain stimulation device for depression.
Appealing Formulary Changes Using Continuity of Care
When your medication worked and the plan changes, you have rights.
Appealing Forzinity (Elamipretide) Denials
Help appealing denials for this mitochondrial therapy for Barth syndrome.
Appealing FreeStyle Libre Denials
Scanning a sensor is not a luxury—it's safer than guessing.
Appealing GLP-1 & Zepbound Weight-Loss Denials
Insurers love to call GLP-1s 'cosmetic' or 'not covered'—here's how to fight a Zepbound, Wegovy, or Saxenda denial.
Appealing GLP-1 Medication Denials
Weight and diabetes meds are not vanity drugs when they treat real disease.
Appealing Gender-Affirming Genital Surgery Denials
When your provider recommends genital surgery, denials can often be appealed.
Appealing Genetic Testing Denials
Genetic answers can change treatment, screening, and family planning.
Appealing HIV PEP (Post-Exposure Prophylaxis) Denials
PEP is time-critical emergency prevention — coverage fights come second.
Appealing Hearing Aid and Cochlear Implant Denials
Communication is a health need, not a luxury.
Appealing Home Health Care Denials
Medicare's 'homebound' requirement trips up many patients — learn how to appeal.
Appealing Hormone Therapy (HRT) Denials
When your doctor prescribes hormone therapy, denials can often be appealed.
Appealing Humira (Adalimumab) Formulary Removal
Stable on Humira? You have the right to request continued coverage.
Appealing Hyrnuo (Sevabertinib) Denials
Help appealing denials for this HER2-targeted therapy for NSCLC with HER2 mutations.
Appealing IVIG Denials
IVIG denials are common but often successfully appealed with proper documentation.
Appealing Imaavy (Nipocalimab) Denials
Help appealing denials for this FcRn antibody for autoimmune myasthenia gravis.
Appealing Implantable Device Denials
Implants can be life-changing — insurers shouldn’t deny them lightly.
Appealing Infusion Therapy Denials
Covers IVIG, chemo, biologics, and more.
Appealing Inluriyo (Imlunestrant) Denials
Help appealing denials for this oral SERD for ESR1-mutated breast cancer.
Appealing Insulin Pump and CGM Denials
For many people with diabetes, diabetes tech is not a luxury — it is survival.
Appealing Jascayd (Nerandomilast) Denials
Help appealing denials for this oral PDE4 inhibitor for lung fibrosis.
Appealing Journavx (Suzetrigine) Denials
Help appealing denials for this first non-opioid pain medication targeting sodium channels.
Appealing Keytruda Qlex (Subcutaneous Pembrolizumab) Denials
Help appealing denials for this subcutaneous formulation of pembrolizumab immunotherapy.
Appealing Knee and Hip Replacement Denials
Joint replacement is one of the most successful surgeries — insurers shouldn't block it.
Appealing Komzifti (Ziftomenib) Denials
Help appealing denials for this first menin inhibitor for relapsed/refractory AML.
Appealing Laparoscopic Sleeve Gastrectomy Denials
Help appealing denials for bariatric surgery coverage.
Appealing Lerochol (Lerodalcibep) Denials
Help appealing denials for this monthly PCSK9 inhibitor for high LDL cholesterol.
Appealing Lynkuet (Elinzanetant) Denials
Help appealing denials for this non-hormonal treatment for menopause hot flashes.
Appealing MRI Denials
Insurance often denies MRIs as 'not medically necessary'—here’s how to overturn it.
Appealing Mental Health Care Denials
Mental health parity laws exist — let’s make insurers follow them.
Appealing Migraine Medication Denials
When migraines steal your life, treatment is not optional.
Appealing Mounjaro (Tirzepatide) Denials
Tirzepatide is a powerful tool for high-risk diabetes, not an optional upgrade.
Appealing Myqorzo (Aficamten) Denials
Help appealing denials for this cardiac myosin inhibitor for symptomatic obstructive HCM.
Appealing Nucala (Mepolizumab) Asthma Denials
Eosinophilic asthma is high risk—denials often ignore that.
Appealing Nurtec ODT (Rimegepant) Denials
Medication for both stopping and helping prevent migraine attacks.
Appealing Nuzolvence (Zoliflodacin) Denials
Help appealing denials for this first-in-class oral antibiotic for gonorrhea.
Appealing Omnipod Insulin Pump Denials
Tubeless pump therapy can be the safest and most realistic option for some people.
Appealing Out-of-Network Emergency Room Denials
Federal law protects you from surprise ER bills — insurers must comply.
Appealing Oxygen Therapy Denials
Help appealing oxygen therapy denials when your doctor has prescribed it.
Appealing Ozempic (Semaglutide) Denials
Ozempic treats more than blood sugar — it helps prevent serious complications.
Appealing PET Scan Denials
When staging or restaging cancer, the right scan matters.
Appealing Pain Management Denials
Help appealing denials for pain procedures your doctor has recommended.
Appealing Palsonify (Paltusotine) Denials
Help appealing denials for this first oral treatment for acromegaly.
Appealing Physical Therapy Denials
Help appealing denials for physical therapy coverage.
Appealing Physical/Occupational/Speech Therapy Denials
Appeal visit-limit denials and claims insurers mark as 'maintenance only.'
Appealing Prenatal Care Denials
Pregnancy care should never be a fight.
Appealing Prosthetic Limb Denials
Mobility, independence, and work are not cosmetic goals.
Appealing Puberty Blocker Denials
When your provider prescribes puberty blockers, denials can often be appealed.
Appealing Qfitlia (Fitusiran) Denials
Help appealing denials for this RNA therapy for hemophilia prophylaxis.
Appealing Redemplo (Plozasiran) Denials
Help appealing denials for this siRNA therapy for rare severe triglyceride disorders.
Appealing Rhapsido (Remibrutinib) Denials
Help appealing denials for this BTK inhibitor for chronic hives.
Appealing Rinvoq (Upadacitinib) Eczema Denials
When topical and biologic options fail, targeted oral therapy may be necessary.
Appealing SetPoint Vagus Nerve Stimulation Denials
Help appealing denials for this bioelectronic therapy for treatment-resistant RA.
Appealing Skilled Nursing Facility Denials
UHC Medicare Advantage SNF denials increased 9x from 2019 to 2022: fight back.
Appealing Skyrizi (Risankizumab) Formulary Removal
Stable on Skyrizi for psoriasis or IBD? Fight for continued coverage.
Appealing Sleep Study Denials
Insurers frequently require a home test first—learn how to appeal this and win.
Appealing Spinal Fusion Surgery Denials
Spinal fusion denials are common but beatable — we'll help you build a strong appeal.
Appealing Stelara (Ustekinumab) Formulary Removal
Stable on Stelara? Fight for continued coverage as biosimilars enter the market.
Appealing Substance Use Treatment Denials
Addiction is a chronic medical condition — treatment should be covered like any other.
Appealing Surgery Denials
When your doctor says it’s necessary, insurers shouldn’t overrule them.
Appealing Teal Wand HPV Self-Collection Denials
Help appealing denials for this at-home cervical cancer screening device.
Appealing Toenail Surgery Denials
Help appealing denials for medically necessary toenail procedures.
Appealing Transfeminine Breast Augmentation Denials
Breast augmentation for transfeminine people is gender-affirming care, not cosmetic.
Appealing Transmasculine Top Surgery Denials
If your provider recommended top surgery, we can help you appeal the denial.
Appealing Tremfya (Guselkumab) Formulary Removal
Stable on Tremfya for psoriasis? Fight for continued coverage.
Appealing Ubrelvy (Ubrogepant) Denials
When triptans are not an option, gepants can be crucial.
Appealing Vanrafia (Atrasentan) Denials
Help appealing denials for this endothelin receptor antagonist for IgA nephropathy.
Appealing Vasectomy Denials
Help appealing denials for permanent contraception coverage.
Appealing Voice Surgery Denials
Voice surgery is medically necessary for many trans people, not cosmetic.
Appealing Voice Therapy Denials
Voice therapy is medically necessary gender-affirming care — not elective.
Appealing Voyxact (Sibeprenlimab) Denials
Help appealing denials for this first biologic treatment for IgA nephropathy.
Appealing Wayrilz (Rilzabrutinib) Denials
Help appealing denials for this first BTK inhibitor for chronic ITP.
Appealing Wheelchair or Mobility Aid Denials
Mobility is a medical necessity — not a luxury.
Appealing Xolair (Omalizumab) Asthma Denials
For allergic asthma, IgE-targeted therapy can be life-changing.
Appealing Xphozah (Tenapanor) Denials
Help appealing denials for this phosphate absorption inhibitor.
Appealing Zepbound (Tirzepatide) Denials
Zepbound is intensive obesity medicine for high-risk patients, not a vanity drug.
Appealing clonoSEQ MRD Testing Denials
Help appealing denials for minimal residual disease testing.
Understanding Medicare Work Requirements
Navigating the new Medicare work requirements and understanding your obligations.