well, its a dead issue. My insurance company has turned down my MDs request for this rx. They said they are not paying $1300 per month because I am fatigued. The neuro argued that its a bona fide neurological acceptable treatment for MS patients, and they said ...NoPE! If I was narcoleptic or other such disorders they would consider it, but since I am not, its considered off lable usage of the med, and are not going to allow it.

Why is it that my MD cant just say "I want my patient to use this med" give me a script, send me to the pharmacy and have them fill it, bill my insurance company, and thats the end of that? Why is it some paper pusher gets to tell the head of neurology that his patient cant have the meds he prefers them to take? Sheesh! They also said between all the meds I take every month, including copaxone, if I add this it will bump me to the limit of acceptable spending on my drug plan. WTH?

I guess I will start drinking caffiene drinks, and such. He did offer me things like prozac and amantadine, which didnt work in the past, and other alternatives. I was looking forward to giving this stuff a try.

Back to the drawing board