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.
Atrial FibrillationAppealing Aimovig (Erenumab) Denials
Step therapy shouldn't stop you from accessing the care you need.
MigraineAppealing Ajovy (Fremanezumab) Denials
Monthly or quarterly dosing can simplify life with migraine.
MigraineAppealing Allergy Immunotherapy Denials
Allergy immunotherapy is one of the few treatments that can modify the underlying allergic disease — appeal your denial.
Allergic Rhinitis / Allergic AsthmaAppealing 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.
AphasiaAppealing 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.
ObesityAppealing Bilateral Orchiectomy Denials
Help appealing denials for medically necessary bilateral orchiectomy.
Gender DysphoriaAppealing 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.
Uncomplicated Urinary Tract InfectionAppealing 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.
Gender DysphoriaAppealing 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.
Breast CancerAppealing Breast Reduction Denials
Help appealing denials for medically necessary breast reduction surgery.
Appealing Brinsupri (Brensocatib) Denials
Help appealing denials for this first approved treatment for bronchiectasis.
Non-Cystic Fibrosis BronchiectasisAppealing CPAP Denials
Helpful for OSA patients denied CPAP devices or replacement supplies.
Sleep ApneaAppealing 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.
Paroxysmal Supraventricular TachycardiaAppealing Cardiac Rehabilitation Denials
Cardiac rehab saves lives — it shouldn't be denied. Learn how to appeal.
Coronary Artery Disease / Heart FailureAppealing Cardiovascular Risk Panel Denials
Help appealing denials for advanced cardiac risk testing.
Cardiovascular Disease RiskAppealing 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.
HR-Positive, HER2-Negative Breast CancerAppealing Dawnzera (Donidalorsen) Denials
Help appealing denials for this first RNA-targeted prophylaxis for HAE attacks.
Hereditary AngioedemaAppealing Doxy-PEP (Doxycycline Post-Exposure Prophylaxis) Denials
Doxy-PEP is guideline-supported STI prevention for some patients — not experimental for everyone.
STI PreventionAppealing Dupixent (Dupilumab) Asthma Denials
Dupixent can calm type 2 inflammation when inhalers alone are not enough.
Severe AsthmaAppealing Dupixent (Dupilumab) Eczema Denials
Severe eczema is a systemic disease, not just a rash.
Atopic DermatitisAppealing 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.
Mitral RegurgitationAppealing Ekterly (Sebetralstat) Denials
Help appealing denials for this first oral on-demand treatment for HAE attacks.
Hereditary AngioedemaAppealing Electrolysis & Gender-Affirming Hair Removal Denials
Hair removal is often required for surgeries — insurers still deny it as cosmetic.
Gender DysphoriaAppealing 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.
MigraineAppealing Enflonsia (Clesrovimab) Denials
Help appealing denials for this long-acting RSV antibody for infants.
RSV Prevention in InfantsAppealing Entyvio (Vedolizumab) Formulary Removal
Stable on Entyvio for IBD? Fight for continued coverage.
Inflammatory Bowel DiseaseAppealing Exdensur (Depemokimab) Denials
Help appealing denials for this twice-yearly biologic for severe eosinophilic asthma.
Severe Eosinophilic AsthmaAppealing Facial Feminization Surgery (FFS) Denials
Insurers often incorrectly classify FFS as cosmetic — appeals can change that.
Gender DysphoriaAppealing Fertility Preservation Denials
Many insurers must cover this when medically indicated — appeals often win.
Gender DysphoriaAppealing Flexitouch Plus & Advanced Pneumatic Compression Device Denials
For many people with lymphedema, advanced compression devices are medically necessary — not luxury massage gear.
LymphedemaAppealing Flow tDCS Device Denials
Help appealing denials for this at-home brain stimulation device for depression.
Major Depressive DisorderAppealing 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.
Barth SyndromeAppealing FreeStyle Libre Denials
Scanning a sensor is not a luxury—it's safer than guessing.
DiabetesAppealing 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.
Gender DysphoriaAppealing 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.
HIV ExposureAppealing 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.
Gender DysphoriaAppealing 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.
HER2-Mutant Non-Small Cell Lung CancerAppealing 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.
Generalized Myasthenia GravisAppealing 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.
ER-Positive, HER2-Negative Breast CancerAppealing 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.
Idiopathic Pulmonary FibrosisAppealing Journavx (Suzetrigine) Denials
Help appealing denials for this first non-opioid pain medication targeting sodium channels.
Acute PainAppealing Keytruda Qlex (Subcutaneous Pembrolizumab) Denials
Help appealing denials for this subcutaneous formulation of pembrolizumab immunotherapy.
Solid TumorsAppealing 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.
NPM1-Mutated Acute Myeloid LeukemiaAppealing Laparoscopic Sleeve Gastrectomy Denials
Help appealing denials for bariatric surgery coverage.
ObesityAppealing Lerochol (Lerodalcibep) Denials
Help appealing denials for this monthly PCSK9 inhibitor for high LDL cholesterol.
HypercholesterolemiaAppealing Lynkuet (Elinzanetant) Denials
Help appealing denials for this non-hormonal treatment for menopause hot flashes.
Menopause Vasomotor SymptomsAppealing 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.
Type 2 DiabetesAppealing Myqorzo (Aficamten) Denials
Help appealing denials for this cardiac myosin inhibitor for symptomatic obstructive HCM.
Obstructive Hypertrophic CardiomyopathyAppealing Nucala (Mepolizumab) Asthma Denials
Eosinophilic asthma is high risk—denials often ignore that.
Eosinophilic AsthmaAppealing Nurtec ODT (Rimegepant) Denials
Medication for both stopping and helping prevent migraine attacks.
MigraineAppealing Nuzolvence (Zoliflodacin) Denials
Help appealing denials for this first-in-class oral antibiotic for gonorrhea.
Uncomplicated GonorrheaAppealing Omnipod Insulin Pump Denials
Tubeless pump therapy can be the safest and most realistic option for some people.
DiabetesAppealing 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.
Type 2 DiabetesAppealing 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.
AcromegalyAppealing 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.
Gender DysphoriaAppealing Qfitlia (Fitusiran) Denials
Help appealing denials for this RNA therapy for hemophilia prophylaxis.
Hemophilia A or BAppealing Redemplo (Plozasiran) Denials
Help appealing denials for this siRNA therapy for rare severe triglyceride disorders.
Familial Chylomicronemia SyndromeAppealing Rhapsido (Remibrutinib) Denials
Help appealing denials for this BTK inhibitor for chronic hives.
Chronic Spontaneous UrticariaAppealing Rinvoq (Upadacitinib) Eczema Denials
When topical and biologic options fail, targeted oral therapy may be necessary.
Atopic DermatitisAppealing SetPoint Vagus Nerve Stimulation Denials
Help appealing denials for this bioelectronic therapy for treatment-resistant RA.
Rheumatoid ArthritisAppealing 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.
PsoriasisAppealing 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.
Degenerative Disc Disease / Spinal StenosisAppealing 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.
Substance Use DisorderAppealing 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.
Cervical Cancer ScreeningAppealing 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.
Gender DysphoriaAppealing Transmasculine Top Surgery Denials
If your provider recommended top surgery, we can help you appeal the denial.
Gender DysphoriaAppealing Tremfya (Guselkumab) Formulary Removal
Stable on Tremfya for psoriasis? Fight for continued coverage.
PsoriasisAppealing Ubrelvy (Ubrogepant) Denials
When triptans are not an option, gepants can be crucial.
MigraineAppealing Vanrafia (Atrasentan) Denials
Help appealing denials for this endothelin receptor antagonist for IgA nephropathy.
IgA NephropathyAppealing Vasectomy Denials
Help appealing denials for permanent contraception coverage.
Appealing Voice Surgery Denials
Voice surgery is medically necessary for many trans people, not cosmetic.
Gender DysphoriaAppealing Voice Therapy Denials
Voice therapy is medically necessary gender-affirming care — not elective.
Gender DysphoriaAppealing Voyxact (Sibeprenlimab) Denials
Help appealing denials for this first biologic treatment for IgA nephropathy.
IgA NephropathyAppealing Wayrilz (Rilzabrutinib) Denials
Help appealing denials for this first BTK inhibitor for chronic ITP.
Immune ThrombocytopeniaAppealing 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.
Allergic AsthmaAppealing Xphozah (Tenapanor) Denials
Help appealing denials for this phosphate absorption inhibitor.
Hyperphosphatemia in Chronic Kidney DiseaseAppealing Zepbound (Tirzepatide) Denials
Zepbound is intensive obesity medicine for high-risk patients, not a vanity drug.
ObesityAppealing clonoSEQ MRD Testing Denials
Help appealing denials for minimal residual disease testing.
Blood CancerUnderstanding Medicare Work Requirements
Navigating the new Medicare work requirements and understanding your obligations.
Medicare