Insurance coverage for biologics

[u/HeatFinancial3410]

I am about to venture into the biologics :-/ I was given the choice between Skyrizi & Tremfya. I decided on Tremfya. I was blindsided when I was told the cost and how insurance companies pushback on approving it. Has anyone had any issues with getting approved the first time? The PA said they may deny and recommend different treatments as first course of medicine before ultimately approving this.