Posted by zonked on September 22, 2011, at 10:32:39
In reply to Re: BDNF connection?, posted by SLS on September 22, 2011, at 9:40:34
> It looks like my prescription plan will refuse to cover Viibryd, even with a pre-authorization request. I really would like to try this drug before moving on to Effexor.
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> - ScottIf you have concurrent Medicaid coverage, sometimes they'll pick up something Medicare Part D won't. It depends on your state and in some cases your county.
Unlikely, but worth calling the pharmacy to see if Medicaid will cover it straight out.
I think in California I have the right to request Medicaid cover a non-formulary drug if my Medicare PDP refuses to cover it and it isn't formulary for Medicaid either, as long as it's for the approved indication. This is actually how Xanax gets covered for dual-eligibles in California - it can't be covered by Medicare by law, CA Medicaid removed it from their formulary in 2008 or 2009, but if you've tried and failed other drugs Medicaid will cover it with justification.
You could also ask your doctor to get a bunch of samples from Forest until you can make this work more permanently. I'm just a third party observer, Scott, but I think your case warrants a drug with a novel mechanism of action.
Good luck. I would think Forest would be mounting a massive physician "education" campaign by now and samples should be abundant.
-z
poster:zonked
thread:997028
URL: http://www.dr-bob.org/babble/20110914/msgs/997496.html