Yes. Most denials happen behind the scenes at your insurance company, even if you found out at CVS, Walgreens, or another pharmacy. We help you appeal those insurance denials — no matter where you found out.

If your refill was denied, it’s often due to quantity limits or prior authorization rules set by your insurance plan. We can help you appeal that denial — whether it’s your first time taking the medication or you’ve been on it for years.

Claimable can help you challenge initial and continuation coverage denials related to medical necessity, step therapy, forced switches, formulary exclusions, out-of-network care, site-of-care exclusions, and more. Learn more about how we help you fight back.

We support appeals for commonly denied asthma medications across all steps of care, including:

- Rescue inhalers (SABAs like Xopenex HFA)
- Leukotriene modifiers (like Singulair)
- Combination inhalers (ICS/LABA like Advair, Symbicort, Breo)
- Biologics (like Dupixent, Fasenra, Xolair, Tezspire)

Yes. If your medication is technically covered but placed in a high-cost tier, we can help request a tiering exception to lower your out-of-pocket costs. This is especially helpful if lower-tier alternatives didn’t work for you or aren’t appropriate for your condition.

Creating and sending your appeal with Claimable takes just minutes.​

Once you've submitted, your insurer must respond within the review period mandated by applicable laws, ranging from 72 hours for urgent to 30 days for upcoming. We request urgent reviews when appropriate – such as cases where your coverage has been dropped, and you're at risk of a care gap – and typically receive standard appeal decisions within a couple weeks.

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Astrong appeal letter should include the following:
- Your medical results on your current medication
- Any prior medications that you’ve tried and failed
- Specific medical conditions that are treated or co-managed by your medication - A letter from your doctor supporting use
- Clinical studies, applicable laws and insurance regulations, and precedents from successful appeals with similar cases to yours
- Supporting evidence like lab results, medication history and medical records
Claimable's appeals are custom built to include all of these things, personalized with your specific medical history and situation.

Both options can work, but generally we recommend that you appeal with your provider's Letter of Medical Necessity attached. Patient appeals have stronger legal rights, are entitled to multiple appeals, and typically mandate responses on faster timelines.

For certain medications, especially biologics, we may request for more information to strengthen your appeal.
- Past medications you've tried
- ACT scores or asthma symptoms
- A diagnosis or test result (e.g. eosinophil or IgE levels)
We’ll guide you through it step by step — and you can always ask your doctor to help fill in the gaps.

You have the legal right to a full, fair, and timely appeal reviewed by a qualified (human) clinician — typically within 3 days for urgent or 15 days for standard denials. If your first appeal is denied, you have the right to keep appealing.

Claimable appeals are $39.95+shipping. Your appeal pack will include a personalized appeal letter fully customized to your story and unique medical circumstance, supported by extensive citations of clinical studies, legal standards, policy evidence and precedent, and more.