Rukkmeister

Sorry to be jumping on the train of "here, let me assume you haven't tried everything and tell you about the solution to your problem", but a lot of manufacturers have a prescription assistance program (PAP) where uninsured individuals (or those whose insurance won't cover the product) can get their meds for free. Work with your dermatologist's office and try to get this filled out to start that ball rolling. https://www.taltz.com/hcp/enrollment-forms

Ultimately, you might have to be persistent, depending on how cooperative the office is with the process.

Again, sorry if you've already tried this, or if I'm missing some aspect of your situation. I hope you get relief.

Edited to add: depending who your pharmacy is, some of them will really assist with the situation and can help you understand what steps are needed.

Edited to also add: u/SnakeJG is correct, it would be good to check out https://www.lillycares.com/available-medications, which is a more direct path to PAP application.

Maybe I should know this, but is part of gauging competency making sure that the acused understands what will happen to them during the execution, or did this topic just happen to get touched on?

You're correct, and this is a more direct path to PAP. I'm honestly a little curious how far down the prior auth/appeals path OPs office/pharmacy went, as sometimes they throw the towel in at the first obstacle, and if patients don't really understand how things go, they don't know to push things forward. I wouldn't be surprised if there's a path to coverage outside of PAP and being enrolled in Lilly's hub would assist. Anyway, editing my comment to increase the chance that OP will see your link.

Honest question, is the "trust fund baby" situation a common scenario? I guess I've never heard of it, but it's probably not something a band would publicize.