Posted by yxibow on October 6, 2008, at 23:55:42
In reply to thanks :-) (nm) » Hygieia's Bowl, posted by 10derHeart on October 6, 2008, at 17:41:38
In the US if you get a nasty insurance company (I'm not asking you to reveal it), unfortunately they can do anything.
I'm fortunate that my [nameless] insurance company allows at least certain medications with prior authorization (although I don't like that invasion of privacy).
Yes, they dispense generic, I don't know if you asked for "the real thing" whether they would do it, but then I really haven't noticed any differences and have never asked otherwise.
Some people do, and sometimes its a placebo effect, sometimes there are realities to certain ones.
Getting into a tussle with your insurance company is risky, but one should at least be able to ask whether there is prior authorization (that is, your doctor says, my patient will do better on medication x for y condition).
There is supposedly a difference in how the body reacts to lexapro than celexa, as far as side effects, at least for some, one could also say its a patent extender -- in the sense that there hasn't been enough research of new SSRIs and beyond them.
But then its been tougher to push new medications through the FDA, what with them practically putting a suicide warning on every antidepressant since the 1970s.
Same can be said of the downing of all COX-2 inhibitors except for one.
True, there are really bad cases that have happened but it puts an extra damper on approval, I think. Which is why you don't often see attempts of European medications in the US.
poster:yxibow
thread:855845
URL: http://www.dr-bob.org/babble/20081006/msgs/856140.html