As for Fibro my insurance required Neurontin first ... then after 3 months or so my Doctor sent prior auth and I was stared on Lyrica.

First biologic was Enbrel , which is what my Rhuematologist uses as his first choice. It did fail after a bit more than a year.

Humira is the next option as far as my insurance goes, but if I find no relief he will send a pre auth for the next one. I forget what’s next.

My Dermatologist and Rhuematologist both want me on Taltzs as they both think it would be best because I have major problems with the psoriasis showing up on my lady parts .. yes! OMG !! It was awful.

But yes I’m a poodle and I must jump through flaming hoops in order to find what will work

Big Pharma can bite me!