Let's face it: we all want what we want when we want it! The reality is that every kind of insurance sets limits of various kinds--total dollar expenditure; types of problems covered; quantity of drugs/types and brands of meds, and so on. There is absolutely nothing new about this issue--insurance has always had some kinds of limits.

Of course, when these limits hit us personally, when we want/need a particular med in quantities larger than approved, it's going to bite. Fortunately, while it's a hassle, we can negotiate for some adjustments. It's not unusual, for example, for a plan to require that we try a generic version of an older med before they will aprove the latest, branded (higher cost) med. It may appear that the insurance company is only trying to increase their profit but the reality is that too often the latest, high cost med, is really not more effective than the old line products.

While it's frustrating to have to play this game, the reality is that many people have to try several meds (of a particular type) before they find one which their body will accept. So, the issue is, sometimes, working with the insurance outfit to get the O.K.to try several different meds/dosing to find an effective combnation. (Yesterday's NY Times: 40% of Rx do not work because of the patient's genetic make-up.)

Bottom line: we are wrestling with a mix of economic realities, variable effectiveness of a med, limits imposed by our bodies, etc.--all working to make for messy ride at a time when we want relief--now.

The solution is to curb anger and learn how to negiotiate with the system. In most cases, your doc will be your agent in dealing with the insurance company on coverage issues.

Yup.   More often than not it is the Insurance Co.'s   NOT the Dr.'s who restrict meds.

My Dr. told me he'd prescribe as many Injections as I thought I needed or were safe(2 per day)   My Ins....when I HAD Ins. said no way...you'll get 6 per month and like it, as well as paying us premiums that will choke a horse and pay the National debt of a third world country.

Bastards!