I have no idea what criteria Rhumy's use when prescribing Enbrel. My Rhumy seems to use the "what will your insurance pay for" criteria. I have not seen the guy in 9 months all I do is have my pharmacy call for refills. I do have an appointment scheduled for July or I'm off the hampster juice and back on my AS. I have fused SI joints and some bone spurs on my lower back (somewhere with enbrel I tend to forget untill I'm off it again) but my Dr. had tried many other things including Remicade with little or no success. So in my humble opinion it may just be an insurance problem rather than a "your not bad enough to need it" problem. Its really hard to say Rhumy's are some strange folks when it comes to what they will and won't do and how they handle things. Come to think of it they are as unpredictable as my 13 year old daugher; you just never know.....
Good luck I highly reccomend Enbrel it sure has helped me get back into the game of life..

Take care


Frankie

Frankie