I looked for this preferred prescription plan in my state, and could only find NC medicare part D (a prescription plan). I have been in this scuffle about Nexium, aciphex, prilosec, etc. for a couple of years. Prilosec was the last med in this category that I could get that medicaid would pay for, and now apparently they are no longer paying even for this one.
the pharmacy said, that the reason they rejected my prescription is because the need for prilosec should have been met by a ninety day supply of prilosec.
But thank you so much for trying to help me.
I will keep looking and see what I can come up with.
Hey Leta and all,
I live in North Carolina, and have the medicare part D program, and selected silver script as my preferred plan.
I wonder if I went to a gastro/intestinal doctor, if they would then cover the meds that I need. I think my doctor also got tired of having to call silverscript to get me authorized, and simply is not calling them.
Hi hun, sorry you are having trouble with your insurance. I have medicaid and champva. There have been a few times medicaid didn't pay and champva would only pay 75% of it. Which sounds pretty good unless you get a scrip that cost ya 300 dollars or somthing. I'm like Patty I take aciphex too. But only once a day. I have a hiatal herniaas well but fortunately I havn't had a lot of problems with it. (fingers and toes crossed). I thought they had prilosec otc out there. I have no idea how much it costs or how it works.
Hope you find something they will pay for. As for your doctor I'm sure he doesn't make the calls himself. My doctor always asked me what insurance I have because she knows after seeing other patients what co. takes what
I called the pharmacy to see how much I would have to pay myself, and it costs $120.00. but I also learned that Kay one of the pharmacists is calling the doctor for me. Now that was way beyond my expectations. Even if she is not successful in getting anything done, the fact that she would do this is enough to lift me out of the depression hole I was headed for.
I did find in the formulary that prilosec is only allowed to be covered for 90 days. No reauthorization as far as I can tell. I will wait and see what Kay gets done for me.
thanks to all of you for your support. and many thanks to this forum for existing.
SpinningMawmaw thank you. I will see if the doctor would prescribe this for me. the difference might be medicaid in a different state.
Hope the day is good to you. you made mine a little better.