So after almost two years of xolair my insurance is denying re authorization. We are still fighting. My doctors office says I’m approved so we will see what happens . So maybe the speciality pharmacy is wrong .Update : Doctors office said they and specialty pharmacy don’t know what’s going on . Speciality pharmacy said they I’m not the only one who is having issues all of sudden . Air quality is horrible in NY right now and I haven’t been on xolair over the time I’m supposed to .