Comment from Sherie Szubski

Please update formularies to current specs. Immunologists are the experts in MCAS and CVID. Treating Postural Orthostatic Tachycardia Syndrome (POTS) and hypermobile Ehlers-Danlos Syndrome (hEDS) often requires a multidisciplinary medical team. These are complicated disorders and in Oregon, we have an ER doc making critical medicinal decisions on something she knows very little about. Please reach out if you need additional data. I have documentation from 2016 to present.