Since diagnosis I was on Gemzar, xeloda, and nexavar for 17 months until it stated progressing. Dr. Lenz then moved me to fulfox in October. At the last appointment everything was stable, but he wanted to get Avastin approved to add it now or later. The insurance declined Avastin right away.. Now what? I want to appeal to my insurance company. I have seen some older posts about getting Avastin approved, but nothing recently. I want to get on this appeal quickly.