can insurance companies override a psychiatrists decision?

i have schizophrenia and am on conservatorship. im doing really well on my meds for the past 5 years or so. no meds have changed, been added nor dosages increased or lowered in that time. just 1 injection of abilify a month and a vit D pill once a week. i asked my psychiatrist if he could lower my injection dose (which is already a low one, 400mgs) if anything to see if i would do just as well on a lower dose and eventually wean me off of it completely. he agreed and said he doesnt usually accept such requests but he loves doing it and that i was a perfect candidate. my conservator approved it too as she oversees all of my med changes but the order wasnt approved by MediCal.

this is my issue im bringing here because only answer ive gotten from my doctor, nurse and other mental health workers is along the lines of "sometimes it just turns out that way"

what reason would MediCal refuse an order by a doctor if im already on the medication and its a smaller dose? my hunch is that them or the medication company (not sure how all that business is handled) wont be making as much money due to selling me less of the medication. and for the record its a very expensive medication from what ive been told by my nurse, upwards 2000 us dollars per injection.

even if money is not the reason, how is medical allowed to override my psychiatrist's decision to lower my medication dose. all thoughts and input gladly accepted whether you are a medical professional or not. thanks

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