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Xyrem Case Study

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Hi Dr. Joesph, I received a letter from my insurance carrier informing me they are unable to approve the request you submitted for Xyrem based on the following reason. I will state from the letter verbatim ; "The request for coverage for Xyrem is denied. This decision is based on health plan criteria for Xyrem. This medicine is covered if you had a reduction in frequency of cataplexy attacks or reduction in symptoms of excessive daytime sleepiness with Xyrem therapy. The information sent in does not show you meet these criteria". I 've had an increased reduction in my excessive daytime sleepiness which I contribute to the current treatment protocol I am on of Xyrem and Adderall, I also have seen a significant increase in my wakefulness,

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