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Topic: Meds and Insurance (Read 535 times) |
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Tom K
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Wait 5 days, but I'm angry now...
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Meds and Insurance
« on: Apr 24th, 2002, 6:35pm » |
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Hey Everybody! I have found something pretty interesting in the last few weeks. Please remember that I am not bragging, just trying to help everyone out! My Dr. wrote my scripts as: "For the treatment of Cluster Headaches...". In the Refills area, he wrote "Yes". During this last series I have been going through 2 Imitrex Injector packs, 1 box of Imitrex Nasal, I box of Imitrex tabs and a box of Zomig tabs a week for the last 5 weeks. I have only been charged my copay for the meds EVERYTIME!!! I don't know if my insurance company (Atena PPO) recognizes Clusters, or if it is because of the Refills: YES or what. I was just passing the info along to try to help fellow Clusterheads!! Hopin' for PFD's in the near future and maybe some pharm. company will find a cure insead of trying to make money off of us!!
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"America, you're so fine, you're so fine, you blow my mind. America, America."-Bart Simpson
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doogienj
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Hi Tom, I'm glad to hear things are working out with your medication. I think it depends on which insurance or prescription drug plan you're on. I have the same insurance as you, with Merck-Medco drug prescription plan. They only allow 800mg of Imitrex per month. I need about 3000mg. So now I am appealing, and according to my doctor, they cannot deny it as long as I don't go over the manufactures maximum daily dosage - 200mg per day. My cycles last for 8-10 weeks usually. If I win the appeal, I will continue to get Imitrex so when the next cycle hits I am stocked up. Good luck, Douglas
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NotH20
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Re: Meds and Insurance
« Reply #2 on: Apr 25th, 2002, 11:11am » |
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Tom and Douglas....just a little food for thought - - - When I am not in my cycle I continue to refill all of Rx - especially for those that the insurance company controls the amount of refills (injections and abortives)...that way I never have to worry about having enough during a cycle. Glad to hear Douglas that you are able to get your meds on a somewhat regular basis   Keep the faith.... NotH20
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