I was skeptical about TriWest when I first heard about it. My primary care provider got me an appointment with a nurse practitioner through TriWest who has a great deal of experience with AS. She prescribed Xeljanz, but I thought my chances of being approved were about a negative ten. It was approved yesterday! I am excited to try this new drug because I had no luck with biologics other than Simponi which the VA thought was too expensive.
(The VA has a local clinic, but to see a rheumatologist, I had to travel 170 miles one way to a VA hospital)