Posted by jealibeanz on February 5, 2007, at 4:06:02
In reply to Re: Combination of ADHD Meds..., posted by med_empowered on February 4, 2007, at 22:19:57
$50-$70? Is that what you meant? For generic? Whoa! That's still a lot. I was considering asking him because I figured the price range would be in range of benzo's (reallly cheap!).
He probably would write a generic script, but he'd probably also rather see me try the med he was prescribing. I've had a lot of problems with generics of all types too, so I try to stick with brand name for everything.
My insurance will cover it. They don't cover ANY meds for AD/HD for people outside of the ages 5-18. No little kids can have the disorder, nor can adults. Nice for them to make that decision, huh?
But they will cover stimulants for "fatigue related to other medical conditions". This is true for me. My doc actually wrote nacolepsy as the dx time. The reason I started Provigil in September was because I was sleeping 18 hours a day (not good when you have 12 hours of class a day!).
My problem is that the med has to be authorized by the doctor (aka nurse, since the doc isn't the one calling). They have to call the company and get authorization codes to give to the pharmacy.
I'm soo mad right now. This is now the 4th month that it's happened. I've been paying out of pocket ($200 for Ritalin LA and Concerta), assuming I'd be reimbursed when it was straightened out. But no.
I've been there each time when the pharmacist called the office and explained the situation to the nurse and gave them phone numbers. I've called the office several times for each script. My mother went to the office and spoke to a nurse, who we know, and was told "these things can take several days to go through". (in other words... we don't like doing so sometimes we get around to calling a few days later).
The insurance company sends letters to the doctor's office. I've brought my letters in to my appointments, explaining the situation and what they must do. My doctor keeps reassuring me that the problem has been fixed and not to worry about it. I don't blame him. It's poor communication. He doesn't know his nurses are refusing to do the job.
So, my mother, father, and me are all calling them today and telling them it needs to be fixed. My parents are furious! It's completely ridiculous. The nurses just will not call. It's not fair to me, or my doctor, who is under the impression that his orders are being followed for the patient he's treating.
poster:jealibeanz
thread:728785
URL: http://www.dr-bob.org/babble/20070201/msgs/729880.html