Peggy is a 62-year-old female who suffers from multiple sclerosis (G35), along with hypertension, carpal tunnel syndrome, depression, polyosteoarthritis, overactive bladder, and cervicalgia. Her symptoms include difficulty with balance, coordination, gait, numbness/tingling and left foot drop. She uses a cane due to her limping gait. Peggy has tried and failed various treatments including aubagio. Peggy’s symptoms are getting worse, as she is experiencing numbness in both legs that is climbing up to her thighs and buttocks, falling more frequently and has more aches and pains, as her recent MRI shows her disease is progressing. The denial states Copaxone 40 mg is non-formulary. I am requesting an exception to have Copaxone 40 mg covered.
