prescription medicine rant
Checking it twice
Joined: May 2002
Posts: 13,539
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From: Twixt Hell/Ann Arbor MI
When I get Zyrtec or Allegra, I have to pay the highest co-pay and my doctor has to send a reason to the insurance company...saying something that over the counter meds don't work. Truth is over the counter I would be paying three times as much for the same effect.
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Life is not a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in broadside, thoroughly used up, totally worn out, and loudly proclaiming ...."WOW! What a ride!!!!!"
LUNCH with THEOLDMAN...On a break for now...
Life is not a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in broadside, thoroughly used up, totally worn out, and loudly proclaiming ...."WOW! What a ride!!!!!"
LUNCH with THEOLDMAN...On a break for now...
I missed Sean
Joined: Aug 2004
Posts: 11,285
Likes: 1
From: Fairfield/Bridgeport CT
my sinues are all screwed up, the only way i can stop myself from getting sinus infecitons is taking clarinex, i've been on alegra, claritin, zyrtec, singular, tried over the copunters like sudafed and stuff... but i need something i can take year round.
and because my dad has diabetes we get shafted. he can't switch insurance now and he never knew i'd have to be on the medications i am on... i'd get my own insurance but there are certain things stopping me...
and because my dad has diabetes we get shafted. he can't switch insurance now and he never knew i'd have to be on the medications i am on... i'd get my own insurance but there are certain things stopping me...
Sucka
Joined: Oct 2002
Posts: 1,397
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From: Fridley, MN
Originally Posted by NOPD
You probably need a prior authorization from the insurance company because they don't usually cover the medication since it's not in their formulary; due to the fact that there are over the counter allergy medications comparable to the zyrtec. The pharmacy usually calls the dr. and the dr. has to call the insurance company to give the insurance company a reason why you have to take it. And that doesn't mean that it will be covered. The process normally takes a few hours or days. I say try out the claritin over the counter or the generic first to see if it works.
The other option is to call the insurance co. and see what is covered under the insurance and tell the dr. to call that particular medication in.
The other option is to call the insurance co. and see what is covered under the insurance and tell the dr. to call that particular medication in.
Also, on occasion, I dunno if it's still true...the insurance will get rebates from one manufacturer in return for covering their product. Basically, they want to pay as little as they possibly can. As far as they're concerned, Claritin should be just fine...and if it's not, they want your doctor to tell them so. Your word just won't cut it.
For NOPD: We have this guy whose MD DAW'd his Prilosec. Not Prilosec OTC, but the original stuff. ...and his f'n insurance pays for it! No wonder insurance premiums are so damned high.
Thread Starter
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Joined: Jun 2002
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From: noobtown
Originally Posted by Spood
What he said.
Also, on occasion, I dunno if it's still true...the insurance will get rebates from one manufacturer in return for covering their product. Basically, they want to pay as little as they possibly can. As far as they're concerned, Claritin should be just fine...and if it's not, they want your doctor to tell them so. Your word just won't cut it.
Also, on occasion, I dunno if it's still true...the insurance will get rebates from one manufacturer in return for covering their product. Basically, they want to pay as little as they possibly can. As far as they're concerned, Claritin should be just fine...and if it's not, they want your doctor to tell them so. Your word just won't cut it.
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94 Chevy Blazer - brother crashed.
94 2dr accord - h22 swap, rear ended.
03 1.8 gti - waiting for her bag of chips.
:crazyr: :slap: :hsughr: :nec: :madr:
Thread Starter
.......
Joined: Jun 2002
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From: noobtown
Originally Posted by Nelson
When you say Zyrtec, is that codename for Viagara
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94 Chevy Blazer - brother crashed.
94 2dr accord - h22 swap, rear ended.
03 1.8 gti - waiting for her bag of chips.
:crazyr: :slap: :hsughr: :nec: :madr:
94 Chevy Blazer - brother crashed.
94 2dr accord - h22 swap, rear ended.
03 1.8 gti - waiting for her bag of chips.
:crazyr: :slap: :hsughr: :nec: :madr:
Come in My Hole
Joined: May 2002
Posts: 27,444
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Originally Posted by Spood
What he said.
Also, on occasion, I dunno if it's still true...the insurance will get rebates from one manufacturer in return for covering their product. Basically, they want to pay as little as they possibly can. As far as they're concerned, Claritin should be just fine...and if it's not, they want your doctor to tell them so. Your word just won't cut it.
For NOPD: We have this guy whose MD DAW'd his Prilosec. Not Prilosec OTC, but the original stuff. ...and his f'n insurance pays for it! No wonder insurance premiums are so damned high.
Also, on occasion, I dunno if it's still true...the insurance will get rebates from one manufacturer in return for covering their product. Basically, they want to pay as little as they possibly can. As far as they're concerned, Claritin should be just fine...and if it's not, they want your doctor to tell them so. Your word just won't cut it.
For NOPD: We have this guy whose MD DAW'd his Prilosec. Not Prilosec OTC, but the original stuff. ...and his f'n insurance pays for it! No wonder insurance premiums are so damned high.
NEC: It is an insurance thing. They have what is called a formulary. A formulary is a list of drugs that the ins pays for. They're rated usually as 1st, 2nd, or 3rd tier. Your zyrtec is not on the list, so it may need a special request (prior authorization) from the dr. in order for it to be approved; or in your case it is not covered at all.