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Posted On: 03/09/2019 1:44:40 AM
Post# of 149105
Let me try and clarify my “off label” question.
A) combo BLA approved and being prescribed and paid by insurance
mono sBLA not approved or accepted by insurance
If patient doesn’t qualify for “A” they are considered “off-label”, correct? If “B” mono sBLA is approved this is a non factor as it is no longer “off-label.” Maybe I am misunderstanding something, but my question revolves around the time between “A” and “B”....this may be 2 weeks or 2 years, we don’t know at this point. I’m just trying to determine if we are solely at the discretion of an insurance company for “off-label” coverage during this period....or please let me know what I am misunderstanding? Thank you!
A) combo BLA approved and being prescribed and paid by insurance
mono sBLA not approved or accepted by insurance If patient doesn’t qualify for “A” they are considered “off-label”, correct? If “B” mono sBLA is approved this is a non factor as it is no longer “off-label.” Maybe I am misunderstanding something, but my question revolves around the time between “A” and “B”....this may be 2 weeks or 2 years, we don’t know at this point. I’m just trying to determine if we are solely at the discretion of an insurance company for “off-label” coverage during this period....or please let me know what I am misunderstanding? Thank you!
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