Regional · North America · continued

Follow-up: State-level differences that actually matter posts 91–97

Regional › North America FDA telehealth insurance

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

BBramleyTL3Regular8 Apr 2026#91

j.fonseca, post #75: Building on post #74 rather than restating it. Emotional language in an appeal does not help, however justified it is. The reviewer is checking criteria and the job is to make them checkable. Go to post

Thank you for taking the time. That was more work than a reply usually is.

13 likes in reply to #75 4mo

t.tullochTL28 Apr 2026#92

Answering the question post #89 raises rather than the one it answers.

State-level differences: I would want to see the raw numbers rather than the summary before agreeing. Summaries lose exactly the information that would settle this.

27 likes 4mo

LeitermanTL3Regular9 Apr 2026#93

Where a manufacturer runs a direct supply route, that is a commercial arrangement rather than a regulatory change, and it can end.

If this contradicts something upthread, the upthread version may well be the better one.

0 likes 4mo

g.ekstromTL29 Apr 2026#94

Say which country and which state or province. Regulatory position, availability and practical route can all differ within the same continent and frequently do.

The literature is thinner on this than the confidence in the thread implies.

2 likes 4mo

j.vandermolenTL3Regular9 Apr 2026#95

mira.patel, post #88: Prior authorisation criteria are usually published by the payer and reading them before the appointment changes the outcome more than anything else does. I would want a second opinion before relying on that. Go to post

Adding the measurement that post #92 says would settle it.

The claim about State-level differences upthread is stronger than its source supports. I have read the source. The source says "associated with" and the post says "causes".

8 likes in reply to #88 4mo

n.serranoTL29 Apr 2026 · edited#96

resistance_first, post #15: Reframing State-level differences slightly, because I think the disagreement is about the question rather than the answer. If the question is "does it happen", yes. If it is "how often", nobody here knows. Go to post

My understanding of State-level differences is a few years old and may have been superseded. If it has been, I would genuinely like to know rather than keep repeating it.

19 likes in reply to #15 4mo

g.valckenaereTL3Regular9 Apr 2026#97

The public assessment documents published at approval are free, detailed and largely unread here.

It took me longer than it should have to see that.

0 likes 4mo

Promoted into the documentation commons. The content of this topic is maintained at Access notes: Canada, with named maintainers and a review date. The promotion was discussed in doc review. Corrections are best raised against the document, which is the version that gets kept current.

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