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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by novelagent on May 15, 2012, at 17:54:36
My doc is rx'ing me Dexedrine Spansules every 7 days as a new prescription. I was doing fine on 10 mg 3x/day Dexedrine IR tablets, but those are on backorder.
Thanks to a little-known conversion ratio only detailed by an obscure mention on a Medscape clinicsl reference page, Dexedrine IR is equal to Dexedrine Spansules at a 1:1.5 ratio, but my Dexedrine Spansules dose is the exact dose I had with IR tablets, 30mg/day. So they don't work.
My doc is starting the process for me to switch to Vyvanse by calling my medicare rx drug plan to ask for a prior authorization, which is necessary to receive a rejection letter Shire will need to process my application for free Vyvanse.
Here's the catch: Shire will only give me Vyvanse in 30 day increments, but my doc will only offer to prescribe for up to 15 day intervals. Which means I would have to pay for 15 70mg capsules out of pocket each month.
I have no drug abuse history, but because I was hospitalized for psychosis once and thought I was the target of a drug enforcement operation, the doc who I saw at the time speculated on my chart I must have been taking more Dexedrine for ADD than prescribed. wtf? He speculated that because I once ordered selegiline from the Internet, I have drug-seeking behavior. I know, but this passes for a medical report these days...
I should just ask them for my horoscope in the form of a medical report next time. Anyhow, does anyone have sny thoughts on what I might say to comfort them into realizing I don't have a drug abuse problem? I mean, if I did, wouldn't I just abuse them in shorter supplies anyway? It all sounds absurd, and I was always paranoid my docs would think I had an abuse problem (I don't) and meddle with my meds...
Posted by novelagent on May 15, 2012, at 19:49:37
In reply to my doc will only rx vyvanse every 15 days : /, posted by novelagent on May 15, 2012, at 17:54:36
It costs $55 a month, but I think it's worth it-- I also get ExtraHelp, so I can change any month I'd like.
my doc is putting through a prior authorization for Vyvanse over the phone with Cigna Medicare Rx, because Medicare allows anything to be prior authorized for an exception, even if it's not on the formulary. She's going to mention the drug I had success with is no longer available due to a shortage, and that might possibly work,
It probably won't, snd since Shire won't do patient assistance for 15 days supply at a time, I think my best bet is to give up and pay the $55 a month... I just hooe I don't get hassled and denied for prior authorization for Vyvanse after switching to AARP. I've heard one person online say it's good-- anyone else?
At least it's on the formulary for needing prior suthorization, as opposed to not being on the formulary at all.
Posted by Phillipa on May 15, 2012, at 20:51:30
In reply to anyone have experience with Medicare AARP?, posted by novelagent on May 15, 2012, at 19:49:37
I have mediciare and AARP got United Healthcare and so far so good. Good luck with your med authorization. Phillipa
Posted by Phil on May 16, 2012, at 6:31:22
In reply to my doc will only rx vyvanse every 15 days : /, posted by novelagent on May 15, 2012, at 17:54:36
"I have drug-seeking behavior"
I had a doc put that in my chart because of Adderall. When my current doc brought it up I said if I wanted speed I'd just go buy meth like I used to 30 years ago. I wouldn't mess around with Adderall. He has me on stims now.
This is the end of the thread.
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