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butterfly11 12-21-2012 02:15 PM

My insurance has started something new called "frontline medications". For example, my pdoc wanted to put me on Lunesta for insomnia so she wrote a script. I tried to fill it and at the pharmacy it was over $150 for 21 pills. They said my insurance would not cover it and that I would have to call my insurance for more info. So I had to call the insurance company, they explained to me their new "frontline" procedure, and told me to tell pdoc that I needed to be put on Ambien, Sonata, or there was a third one and I can't remember it's name. Those were their "frontline" insomnia medications. If after I filled and tried all 3, and all 3 didn't work, THEN pdoc could write a letter and I could try something on their second level.

So I had to call pdoc's office, wait for her to call me back, explain everything ins. company said. I've been on Ambien and don't like it so that was out, so she called me in some Sonata. pdoc said it was amazing that she went to medical school for an insurance company to tell her what to prescribe. She was being snarky, she was irritated, but with them, not me. I filled it and it only cost me $7 for 21. The Sonata's not doing much and I would like to try Rozerem but am worried it will be a paperwork nightmare so I've been putting it off. :Heart:

Mari 12-21-2012 02:21 PM

Hi,

My insurance company does something similar. They would not let me have Celexa or Cymbalta for depression so I gave up.
I am taking all generic meds.


M

Mari 12-21-2012 02:25 PM

One good thing about generics is that they have a long history behind them. We know more about their safety than we do that of the new meds.

butterfly11 12-21-2012 02:42 PM

Quote:

Originally Posted by Mari (Post 941493)
One good thing about generics is that they have a long history behind them. We know more about their safety than we do that of the new meds.

That's a good point Mari. Perhaps in this aspect they are doing us a favor. :Heart:

Dmom3005 12-21-2012 09:33 PM

I take the generic for celexa. And I like it a lot. I used to take cymbalta
for my depression and pain. But when I'm don't have insurance I can't
afford the cymbalta. So the celexa is what the doctor changed me too.

After going for a long time with nothing.

donna:grouphug::hug:


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