Blood test needed. CVS needs a prior authorization

Antisosa · May 15, 2018

CVS is requesting authorization from my doctor to get testosterone cyponiate after 1 year of being on TRT.
I asked my doctor to send the approval to CVS to tell them I still need the testosterone. Dr replied my last blood test was too high and I need another blood that reads within levels. Otherwise they won’t approve it.

My last blood test was —- Total testosterone: 1126 on a range of 280-916

I’ve been taking 50-52 mg (try to stay at 50 but sometimes goes slightly over) e3.5d. My last injection was Monday morning. I want to hold off on doing any more injections so I can make the blood test totals lower.

When do you think would be okay for me to get the blood test to be within levels?

Vince · May 16, 2018

Do you get labs on injection day before you inject?

Vince Carter · May 16, 2018

Cut your dose to 45mg EOD and stop fudging the numbers with this one day it's this and the next time it's that dose. There's no reason for you to be over the lab range with few exceptions. Have your SHBG pulled, too, when you do that set of labs. This is a problem with insurance paying their part of the script, right?

Antisosa · May 16, 2018

Your saying change the protolcol to 45mg every other day? Wouldn’t that make it go higher?

Yes it’s for insurance reasons. Cvs sent me a letter for dr to send a pre authorization. They haven’t seen my numbers, I guess it’s just a thing they do every year to make sure I need it

Vince Carter said:
Cut your dose to 45mg EOD and stop fudging the numbers with this one day it's this and the next time it's that dose. There's no reason for you to be over the lab range with few exceptions. Have your SHBG pulled, too, when you do that set of labs. This is a problem with insurance paying their part of the script, right?