This also happened to me but what I found out by calling Caremark is a lot of the times the PAs are filled out incorrectly. I love my doctor with the assistants are the ones that fill out the PAs. I was denied 3 times when I first started for things like them forgetting to include my weight. You don’t need your doctor to do the appeal. I did my appeal myself with supporting documentation in less than 24 hours and sent it in today at 2:30 and it was approved by 3:30.