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how to get meds insurance won't cover
  1. #1
    CynX is offline New Member
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    Default how to get meds insurance won't cover

    I had a wonderful doc, who finally found the meds that worked on me. After trying all the common antidepressants, I told him I could be bipolar, and he gave me an Rx for Symbyax, and Klonopin for my panic disorder. It was wonderful........ for 6 months I finally felt like a normal person!
    Then........ boom...... the insurance company was changed, and he was no longer on it, and they won't cover Symbyax. Which is about $400 a month out of pocket. He already tried to call them and get them to cover it for me, but it's a no go. I can't take Lithium.
    It was suggested that I ask for your help and see if there's a gov't agency that can help me get the symbyax w/o the high price tag.
    Any help is welcome. And with my panic attacks, it'll be hard for me to call whomever I have to, but I'd do anything to have that peace that I had when I was on that med! TIA
    BTW, ya'll are wonderful, and I thank you, and want you to know I appreciate the help you've already given me! Cyn

  2. #2
    zippysgoddess is offline Advanced Member
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    Default

    Well, you can try to contact the manufacturer of the med you were on, some of them have special programs for low-income people to help them get their meds, but the problem is most of them will only help if you have no insurance coverage at all, they don't help if you have some insurance and it just won't cover the med you were taking.

    I had looked into some of these before, when I was on Oxycontin and was having great results with it, and my insurance stopped covering it as well, no matter what my doc tried they would not approve coverage, and since I couldn't get coverage elsewhere, because I have insurance, I had to switch to MS Contin, which doesn't work as well, or as long for my pain, and I have more side effects from it.

    So unfortunately, you might be stuck here.



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  3. #3
    CynX is offline New Member
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    Thank you......... I have nothing to lose. I just hope my panic attack let's me do it. I appreciate it!

  4. #4
    vincentlee1 is offline New Member
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    I had the same problem when I was prescriped oxycontin. I had too see a pain specialist and got him to get a preauthoration form to fax to my insurance company. The reason is bc oxycontin cost so much and people are oding off of it. But if oxycontin is the only meds that helps with your pain. a pain specialist can convince the insurance company to pay for it most of the time by sending a perauthoration form and I got a hmo and they paid for mine. Ms contin and oxycontin are in the same family. The only difference is ms contin has morphine in it and oxycontin has oxycodone in it.

  5. #5
    Mollie_T is offline New Member
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    I reacll seeing a program that Montel Williams supports that helps people get their meds, it was something PPA... What about your local health department or mental health clinic ?? Some of those places have sliding scale fees.

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