tag:blogger.com,1999:blog-8340684.post7420757122875826418..comments2024-03-24T09:36:51.494-04:00Comments on delagar: No Drugs For You; or, More Whiningdelagarhttp://www.blogger.com/profile/18197857250240640822noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-8340684.post-5455469604928048742014-03-08T19:42:54.071-05:002014-03-08T19:42:54.071-05:00We have terrible insurance, though it's a litt...We have terrible insurance, though it's a little better now that ACA has passed. They're covering almost every medical cost, instead of 80% of some and 50% of others. And covering more sorts of medical care.<br /><br />I'm guessing cutting off the pricey drugs was their way of cutting what costs they could.<br /><br />But yes! I need to go into the clinic and see what options I have. I know when the insurance didn't want to cover Dr. Skull's Byetta, they got the company to cover it somehow.<br />delagarhttps://www.blogger.com/profile/18197857250240640822noreply@blogger.comtag:blogger.com,1999:blog-8340684.post-14473437585572969702014-03-08T17:46:03.860-05:002014-03-08T17:46:03.860-05:00Ditto what Bardiac said-- I did that once in grad ...Ditto what Bardiac said-- I did that once in grad school when my BCP went off the formulary. The doctor wrote "no substitutions" on my prescription and that somehow fixed everything. <br /><br />In terms of why do insurance companies change drugs... it's all of what Tree of Knowledge said PLUS individual insurers negotiated with individual drug companies to give deals on specific drugs. They tend to only cut deals with one company per drug type. <br /><br />But you should still be able to get the drug you need with a co-pay even if it isn't in the lowest tier if the one in the lowest tier doesn't work for you and your doctor says it doesn't work for you. Of course, it will still depend on your insurance company. Complain to your employer if they don't budge.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8340684.post-75718153880959009862014-03-08T17:19:34.574-05:002014-03-08T17:19:34.574-05:00NOOOO! That's awful. I have the exact same dru...NOOOO! That's awful. I have the exact same drug preference (Frova works best of the triptans). I'd try following up with what Bardiac suggests. Frova has a longer half-life, which is why it works for people when Imitrex or Maxalt or whatever shorter lived triptan doesn't; surely the doctor can explain why they don't work the same for you. I bet Imitrex has generic versions now too since it's the oldest of the triptans (and Frova is one of the newest), so that probably has way more to do with the decision not to cover Frova than any medical reason.Tree of Knowledgehttps://www.blogger.com/profile/14037710157338503215noreply@blogger.comtag:blogger.com,1999:blog-8340684.post-43535865927552960592014-03-08T16:51:44.550-05:002014-03-08T16:51:44.550-05:00Sometimes you can get a waiver if you show that yo...Sometimes you can get a waiver if you show that you've tried the cheaper drug, no? Maybe your care provider could help with that?<br />Bardiachttps://www.blogger.com/profile/11846065504793800266noreply@blogger.com