Prior Authorization for Fiasp

I am looking for a template letter for prior authorization to justify Fiasp. The response we got from insurance was that it does not improve glycemic outcomes relative to Humalog novolog. I need some sort of protest letter with citations. Please share if you have them.

Name: Joyce Lee, MD

Clinic: C.S Mott Children’s Hospital

Adult or Pediatric Population: Both

Date: 11/1/2023