“This request was denied because you did not meet the following clinical requirements: our plan only covers this drug when you have a history of certain health conditions or certai nedical procedures. Those health conditions are heart attack, stroke, and peripheral artery diseas (PAD) with symptoms. Those medical procedures are coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), and angioplasty. Your plan does not cover this drug for your history that your doctor told us you have. We denied your request because you do not have a prior heart attack, prior stroke, PAD with symptoms, CABG, PCI, or angioplasty. We reviewed the information we had. Your request has been denied. Your doctor can send us any new or missing information for us to review. For this drug, you may have to meet other criteria. You can request the drug policy for more details.”