Quote:
Originally Posted by numb
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.
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Yes, we also had BC/BS PPO. Anthem is a for profit BC. I also tend to agree with them in that my understanding is Lyrica was never tested for nerve diseases like RSD. But again this drug seems to be the drug many want to prescribe for those with RSD including my wife, in which she could not tolerate.
I would talk to your doc and see what is out there that is similar to lyrica such as cymbolta perhaps or what cdwall suggested. Good luck