- A documented diagnosis of relapsing remitting multiple sclerosis AND documentation of all of the following:
- Discontinuation of other therapies used for treating multiple sclerosis while on therapy with Tecfidera (Note: This does NOT require having to discontinue Ampyra)
- Recent (within 6 months) complete blood count (CBC)
- A documented contraindication or intolerance or allergy or failure of a one month trial each of the following preferred alternatives, Avonex or Rebif AND Copaxone"
EVERY one of the first line MS drugs have been put on this step list, including Avonex. I'm trying to get my brain around the puzzle... who figured out what one should take before insurance will ok Avonex? Is Extavia ok to use as a 'step' to Copaxone? I mean what the hell?
Oh, I'm cranky-angry. This is stupid stuff. Can I go to my insurance rep and poke him or her with needles for a month or two and see how tolerant THEY are?
Grump, grrr, bah!