Business ProfileforCommon Ground Healthcare Cooperative

On November 21, 2023, my eye doctor submitted a request for a prescription called Tyrvaya for Keratoconjunctivitis- Sicca (Dry eye) which I have had for several years. Previously, I was on Restasis .05 eye emulsion which no longer works. Common Ground denied this claim after sitting on a prior authorization since 11-23-23. The rejection letter stated I need to try Cequa, and the above medication doesnt fit Optum RX drug coverage policy. My Dr. ********* an RX on 12-1-23 for Cequa, (the medication suggested I needed to try first by Common Ground Insurance in their denial letter!) I went to to pickup at pharmacy on 12-2-23. Once again, Common Ground is denying this prescription demanding a prior authorization for my prescription stating I need a PA. I have met my Out of pocket for the year and I believe Common Ground is playing this game because it is an expensive prescription and are delaying until 12-31-23so they dont have to provide this drug under my plan. Due to the PA game Common ground plays I have been denied critical eye care since 11-23-23! I want, and need this prescription and unfortunately I have this crummy insurance who loves to play the denial game. If this game of denial, by Common Ground and OptumRx impedes the healing after my cataract surgery and the result is my loss of my eye sight there maybe a lawsuit pending.