Nurtec® insurance, approved

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I have been living with migraine for several years, and it’s become more than just an occasional headache. On average I experience about 8–10 migraine days per month, forcing me to scale back work, avoid social activities, or shift my schedule to compensate.
I frequently have to cancel plans because I feel a migraine coming on, dread the attack, and spend the rest of the day trying to recover. It’s not just the pain — it’s the disruption: missing meetings, stepping away from my desk, avoiding time with family. The burden has grown, and despite trying multiple other medications and therapies, Nurtec is the only one that has offered relief.
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Your decision fails to reflect the standards recognized by the migraine and neurology community. The American Headache Society, in their recent position statement, recognizes CGRP-targeted therapies—including Nurtec (rimegepant) —as first-line options for migraine prevention due to their strong evidence base and favorable tolerability profile, without requiring failure of non-CGRP therapies (see citation).
Large, peer-reviewed clinical trials (see citation) have conclusively demonstrated that rimegepant provides substantial reductions in monthly migraine days for patients with chronic migraine, consistent with the improvements I have experienced.
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The law mandates comprehensive coverage of essential health benefits and prohibits unreasonable denials of medically necessary interventions. As a patient and policyholder, I am invoking my right, under this law, to a thorough review of your coverage denial, based on a fair assessment of the clinical evidence and in light of prevailing standards of care.
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