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It is a REAL possibility you could get it approved. The fact that your insurance covers the drug at all is a good indication that with your Doctors office filling out the proper paperwork (and saying the right things) you can get approved for more doses. If it is a matter of studies I am sure your doctor can find a study or report of a patient (maybe from his own practice) that benefited from a double dose thus reducing overall insurance costs. You have to appeal to them financially  But your doctor should be used to stuff like this. Just make sure to keep up to date with your doctors office on what they are doing to help you get approved for more doses. Good luck!