I want my pain pump!!! & whats up with oxycontin $$$'s?

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kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 2/18/2009 7:47 PM (GMT -7)   
so i went to the dr today and was asked at sign in "shannon, have you had your pain pump trial yet? we need verification from your insurance" i thought "this is finally about to happen" well i got the full lecture from the dr in regards to the pump itself.... the dr did a great job explaining it to me. but then at check out i heard, "we are waiting for approval" uggggggh,,,,,,,,,, what a tease! i just want to get this thing done. why does insurance have to be such a pain in the rump? i am glad i have it, but my gosh just give me some good news for once. and then when i went to have my oxycontin filled -the regular price (non-insurance) was $1465...... what??? has anyone else noticed a spike in oxycontin costs? unreal. hope you guys are having a better day than me.
RX's: Oxycontin 80mg 2x's daily; Oxycodone 30mg 5xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100mg 3x's daily (pain & fibro.); Phenergan 25mg (as needed); Amitriptyline 25mg 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Abilify 5mgs at bedtime (depression); Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil


Stella Marie
Veteran Member


Date Joined May 2005
Total Posts : 601
   Posted 2/19/2009 5:23 AM (GMT -7)   
I had trouble too getting my pump approved.  My insurance company kept asking for more and more documentation from my doctor.  I believe that somehow my insurance company realized I was within months of going on Medicare for permanent disability.  I not sure, but I think they were stalling the approval process so Medicare would have to pick up the cost.  Once I was on Medicare, I was immediately approved.
 
Good luck.  My love my pump.  It totally changed my life.  Hang in there and fight for it.

Stella Marie

Rare neurodegenerative disease called “Multiple System Atrophy”.  Wheelchair, O2, & Bipap, intrathecal pump, Neurostimulator, dystonia, neuropathic pain and spasticity.


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13470
   Posted 2/19/2009 8:23 AM (GMT -7)   
At the time of my implant, within 7 days my insurance was changing to another plan that gives drs a hard time on approving pumps. My pain mgt dr himself actually got on the phone in one call and got me approved before the switch in ins took effect. I did my trial in one day and he was on that phone getting it approved. I am so glad that he took the extra effort himself in getting this done knowing we were getting close to the wire. Kttn another thing you have to remember is who ever does their approvals in that office , how effecient is the person that handles this particular job there. I would give them a couple more days then I would be calling whoever and asking if they have started working on getting you approved for the trial....Susie


kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 2/19/2009 4:47 PM (GMT -7)   
Thanks Susie & Stella for the advice. I did speak with the lady in approvals a few weeks ago but I was just so excited when they asked that when I signed in. I really thought I was going to have some luck. *sighs* But, the Dr did say he did not want to up my Oxycontin (my pain has been really bad lately) because I would not need it on the pump. So I guess he figures it will be within a few weeks, before my next monthly visit. I can't hardly wait!! My hubby did get something in the mail from our insurance co asking if I had any other types of insurance, so I figure its in reference to the pump.
RX's: Oxycontin 80mg 2x's daily; Oxycodone 30mg 5xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100mg 3x's daily (pain & fibro.); Phenergan 25mg (as needed); Amitriptyline 25mg 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Abilify 5mgs at bedtime (depression); Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil

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