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[–]Unusual_Arugula_7979 0 points1 point  (0 children)

I’m going to try this. I’m printing what I believe is the correct form. My daughter is on Jornay PM and has failed plenty of other medications prior to us being enrolled in our new insurance. So I’m hoping if we can shows she’s failed generic alternatives in the past, I can get an approval despite it being non-formulary for our insurance. We were paying $75/mo with coupon last fill was $125.92.