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What is Step-Therapy? With step-therapy, you must first try one or more "prerequisite" medications before a step-therapy medication will be covered. Prerequisite medications and their corresponding step-therapy medications are FDAapproved and are used to treat the same conditions. Step-therapy does not apply to all medications, however. If it is medically necessary, you can obtain coverage for a step-therapy medication without trying a prerequisite medication first. In this case, your doctor must request coverage for a step-therapy medication as a medical exception. If the request is approved, your doctor will be notified and the medication will then be covered at the applicable copay under your plan. If the request is denied, you and your doctor will be notified. Step-therapy is based upon current medical findings, FDA-approved manufacturer labeling information, and cost and manufacturer rebate arrangements. The medications requiring step-therapy are subject to change. Please refer to our website at aetnamedicare or contact our toll-free Member Services number on your ID card to obtain additional information. Are there any other restrictions on coverage? In accordance with Medicare coverage guidelines, the following medications would not be covered if you enrolled in an Aetna Medicare prescription drug plan, for instance, zannaflex fda.
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Many doctors play some form of sport. However, in that world of endeavour, their ability may not correlate closely with their status in medicine. Nonetheless, position in the medical hierarchy may occasionally be exploited to close a wide gap in sporting prowess. One example that comes to mind is a squash match I once played against Billy, my SHO at the time. Given that I was but a moderate journeyman of a player and he was an ex-junior Wimbledon tennis star, I knew I was destined to come second. That was until there was a literal 'turn' of events in the eighth minute of the match when he twisted his ankle. 'What do you want me to do, sir?' he asked. 'Play on, Billy, ' I replied unsympathetically. The rest of the match consisted of front wall drop shots. Billy accepted defeat in the full knowledge that his reference was preserved. Meanwhile I consoled him with the thought that I usually preferred my opponent to be in the throes of acute meningitis to be certain of victory. I was less pleased when I met Luis. At that time I was still playing soccer, but my game had receded from engine room all-action assassin to run-down midfield dynamo who had lost his ability to hover. I was still turning out for the village third team, however, and only the previous Saturday, in the 67th minute, I had managed to head the ball onto the opposition crossbar from a corner. Luis was introduced to me in the clinic by a colleague. 'Luis is Uruguayan and he is here as a British Council Fellow; you will like him as he is keen on football, ' I was told. Luis was small and unremarkable in appearance. Knowing his football interest, I felt sure that there would be an opportunity to boast to him about the 67th minute header but I elected, out of misguided politeness, to first ask him if he had ever played football. 'Yes, ' he said. 'What was the name of your team?' I asked. 'Uruguay, ' he replied. My heart sank! The village soccer reminiscence was out of the question. It was getting worse by the minute, as Luis told me that he had played in the 1970 World Cup tournament for Uruguay against Brazil and marked the great Pele. 'All down his back, no doubt, ' I muttered softy under my breath, anxious to avoid any possibility of a South American 'kiss'! My worst experience of a sporting interaction with a fellow medic, however, was in the annual hospital squash tournament. I was a junior research fellow at the time and, as luck would have it, I drew the Professor of Medicine as my opponent. I had seen him play previously at the local squash club. He always played with the same colleague, an Argentinian radiologist whose English was moderately incomprehensible, but whose body position when receiving serve was even stranger, with his non-racquetholding hand swathing his testicles. When confronted about this non-classical stance, he explained that he had played a great deal of football in his youth. Hands over the scrotum were mandatory if lined up in an Argentinian soccer wall, and he consequently continued the habit in all other sports! For me, however, the Professor was a more irritating opponent. He was 15-20 years older than me and his body scarcely contained any muscle of note. I tore around the court, chasing everything and living off scraps, whilst he scarcely moved, just flicked his wrist to make another point disappear. At the end of each game he lit a cigarette and quaffed his pint of beer! In comparison my body had been treated like a temple, as I had not drunk alcohol for 2 weeks in anticipation of the match. Even worse was how he treated me on court: when I did manage a half-decent return he would say 'Good shot, Hadyn!' and adalat.
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