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When our health insurance changed, our new insurer required that our kid try two other medications before it would pay for the medication he was on for ADHD, even though he had tried variants of the other medications without success. As a Canadian living in the US, the general way insurance drives healthcare here is pretty staggering.
The health industry in US is broken :( and in a foreseeable future it's not being fixed
Insurance companies keep trying to recommend ibuprofen to me to replace Celebrex (my knees basically have no cartilage). Except I’m tolerant of the whole standard NSAID family, hence Celebrex. Doesn’t matter, they keep recommending it to save money.

At least they don’t force it on me

Same happened to me when I switched insurance. Caused me to break down and miss three months of work. They denied half of the disability claim.