Per Athem Blue Cross criteria, Lyrica is for spinal cord injury, shingles, nerve diseases from diabetes. I used to have BC/BS PPO and they covered Lyrica with no questions asked. I tried to call the drug manufacturer inquiring about their patient assistance program, but i am not qualify. My appeal is still pending. If it is denied, i will take it to managed care. Actually, this is the only medication i take for my RSD besides needing the blocks from those severe flares. Still, they denied my request.
Very frustrating! Thanks everyone.