Posted 4/16/2012 5:56 PM (GMT -7)
No I don't believe he personally wrote. He has a medical publication that was released in May 2011 which is what my GI referred the insurance company to in order for them to approve it. We all expected a fight, but given the severity of my disease and the lack of other medications... and the fact that Stelara IS an approved (safe) medication, it was easier than we expected.
Should the insurance company have rejected the appeal, we would have gone through Johnson and Johnson and appealed on a compassionate use exception. That was to be our next step. To do that I would have had to fill out the financial aid application and, while I would have failed for typical use, since it had been insurance denied, my nurse had been working with a pharmaceutical rep at J&J who was going to help us with compassion use.
Note though, that the process took about 2-3 months. It wasn't as easy as approving Humira, but... it happened and I will hold hope that you can get it too. Within a month I was getting better - CRP was at 50 and dropped in half at a month. (sed rate went from 84 to 53)... Within 2-3 months all my inflammation rates are "normal"... high side of normal, but normal nonetheless. I do still know I have some disease in my rectal area, but nothing at all compared to before. And, I live more or less like a normal Crohnie in remission ;-) (We are never quite "normal" again, are we?) But, I do notice, probably due to scar tissue, I still need to drink lots of water or I get dehydrated.