I used to take Provigil (tried Newvigil – didn’t like it) from my Pulmonologist for fatigue. He is treating me for Central Sleep Apnea, which is probably MS related. It worked really well in combination with a sleep medication. I was mostly awake all day, and mostly asleep all night.

Now my Medicare part D drug insurance company has decided that they aren’t going to cover it for me any more. I’m not sure why they used to cover it, and don’t any more, but I was officially denied coverage. My Pulmonologist is putting together an appeal, or at least that is what I am told by his staff.

I know he isn’t doing all that he can do to justify coverage for me, because I know perfectly well that he can run another sleep study on me to test me for Obstructive Sleep Apnea, which is a covered diagnosis for Provigil.

This doctor is on really thin ice with me. He also cut my sleep medication from 20mg to 5mg. Why? I don’t know. I called and asked if it was an error, but they said it wasn’t. I’ve decided that if he doesn’t do what needs to be done to get me back on Provigil, and give me the correct dose of sleep medication I’ll find a doctor who will. I’m sick and tired of being half asleep all day long, and then unable to sleep at night because of inactivity.