DUR Outreach to State Legislator Template

Dear XXX:

My name is XXX and I am from XXX. On [date] the Drug Utilization Review (DUR) Board for [state] will meet to consider whether and how our state Medicaid program will cover [treatment] for [disease].  

I am a [patient/caregiver/loved one] who has spent XXX years [living/working with/caring for someone] with [disease], and I am concerned that our state’s DUR Board may adopt policies or practices that make it difficult or impossible for patients to get access to [treatment].  For example, [fail first/step therapy, invasive testing]… would have the practical impact of blocking [my/my patient’s/my child’s/my loved one’s] access to [treatment].

[Disease state] affects XXX people worldwide.  It is [chronic/fatal/debilitating] and typically results in…  My personal experience with the disease is…

This treatment gives [me/my loved one/patients] hope for a better life by [impact of treatment].  Clinical data shows that the treatment is effective, and the FDA has approved it.  

I respectfully request that you use your authority to urge the [state] DUR Board to put [treatment] on the state Medicaid formulary without barriers like step therapy or invasive testing.  

Thank you for your consideration.  I would welcome the opportunity to discuss this with you further.  I can be reached at…