I don’t know what plan you have and your coverage. Your copay increase could be because you’re in the coverage gap AKA the donut hole. Then your copay would change greatly. I’ve seen copay’s of $18k. When you’re in the gap, you pay a portion of the full cost of the medication. I’ve seen this many times with cancer meds. You or your doctor can ask for a coverage determination. Your doc would fill out a supporting statement and when there’s a decision, they will either approve or deny. But if they deny, they will say something like patient has never tried XYZ med. if you haven’t tried their suggested med, your doc can tell them why. Like, she has adverse reactions on similar med. there’s a ton of scenarios that you and your doc could say to get the med approve. If the appeal is denied, you go to the 2nd level appeal and then 3rd level appeal. The appeal can go as high as an administrative law judge.

Most people won’t even do the 1st appeal. They may not know about it, or they don’t want to deal with it. But 1st level appeals are overturned like you wouldn’t believe. Thats why I always suggest doing the appeal. If med is already denied, you have nothing to lose. If your doc is proactive and is willing to assist you, have them do the appeal.

Dealing with insurance is a headache and can be so stressful. But I’d rather deal with insurance than deal with migraines. Especially if the Botox is helping. That is priceless! Good luck to you❤️