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   Author  Topic: Meds and Insurance  (Read 535 times)
Tom K
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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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Re: Meds and Insurance
« Reply #1 on: Apr 25th, 2002, 6:41am »
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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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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  Grin  
 
Keep the faith....
 
NotH20
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