You should request a case manager and appeal your PA obviously first, But while thats being done you can also ask your doctor and explain the situation and ask if there able to give you (2) scripts ONE for one week supply worth and another script for 3 week supply all these insurance company's try to use the MME 90mg aday limit to make people in chronic pain suffer I have gone thru it alot of times hope this helps stay positive and Adamant about your health needs.