It also requires the presence of a cyanide molecule and while the amount of cyanide is not dangerous, it does require the body to expend energy to convert and remove it
The evidence is therefore not one-dimensional
The process varies by insurer, but the general steps are consistent: request the denial in writing (the insurer must provide the specific reason), have your prescriber write a letter of medical necessity that addresses the denial reason directly, include supporting clinical data (STEP, SURMOUNT, SELECT trial results), and submit within the appeal deadline (typically 60 to 180 days depending on the plan)
NICE, 2014
10.1016/S0140-6736(19)32131-2 86 McCreightL
To view a copy of this licence, visit About this article Cite this article Zhang, S., Shen, Y., Zhu, L