I’m sorry to hear of your struggles. I had express scripts as my pharmacy and to say it nicely it was painful to get medication approved. I went thru 5 denials to many phone calls to remember many trips to NYC for additional tests but finally was approved. The staff at Columbia Presbyterian were instrumental in getting it approved. The key to approval is a very persistent doctor. That being said it still took 3 months dozens of calls and much documentation. I called reata reach, express scripts, and Columbia 2-3X a week for months although it sounds crazy that’s what it took. Best of luck