text: First, most employers outsource their Rx benefits. That means another company, not UHC, decides what is covered and what is not as well as what your cost will be (i.e Medco, Caremark, Express Scripts, etc...).\n\nSecondly, if your diagnosis doesn't match the AMA standards for this medicine no insurance company will approve it. This medication is also being reviewed as a potential cancer risk by the FDA and is only currently recommended if all other treatments have failed.\n\nOf course $$$ is also an issue and if there are other similar medications available, denying this particular one is a way to force you to choose a more economical medication. This is a tier 3 (most expensive-brand name non-formulary) medication, as recently as late May/early June it had been tier 2 (cheaper-brand name). Are you sure it is not covered or is it that the price has doubled?\n\nTalk to your physician about alternatives. Good luck!