Posted by Sulpicia on March 23, 2001, at 22:15:26
In reply to ADDERAL vs. Insurance Companies, posted by NCC4200 on March 23, 2001, at 18:41:20
> Hi and sorry you're going thru this. First, contact your prescription insurance carrier
and confirm what the drug store told you. I cannot believe that what they told you is correct.
If you were narcoleptic, what would you do? Die behind the wheel of your car? The policy doesn't
make sense. It *may* be a policy of the drug store. Lots of pharmacies hate to deal with schedule II
drugs.
After getting your insurance carriers' policy on this drug, preferably in writing, have the prescribing
doctor write to the insurance company stating that the drug is medically necessary. I know lots of
mom of kids with ADD/HD who have prevailed like this. The insurance companies inevitably back down
in the face of medical necessity.
Post this to the attention of CamW. He should have some good advice for you.
Medicare? I know stimulants are prescribed off-label for certain situations like after strokes; perhaps
the prescription would be filled if the diagnosis were different?
I'll dig around a bit for you.
Good luck.
S.
poster:Sulpicia
thread:57311
URL: http://www.dr-bob.org/babble/20010319/msgs/57332.html