Medicare Rxplans, subutex

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Regular Member

Date Joined Dec 2009
Total Posts : 184
   Posted 11/18/2010 12:58 PM (GMT -6)   
I was reading in the many threads that someone was going to look for a Medicare Rx plan that would cover subutox and suboxone and just wanted to add that my plan , Envision Rx had just approved payment for both. This is a relief as the pills run $6.00 each. open enrollment starts in a few weeks so this may be something to look into.
Thanks everyone for all your support. I finally was able to pick up my subutex and have only had one pill so I don't know if it will work, heres' keeping fingers crossed. The only problem THE TASTE IS HORRIBLE. This tab needs to be dissolved and boy oh boy is it awful. Is there anyone using this that can lend some insite into helping with this? sucking on candy at the same time? anything?
thanks all and pray it works

Veteran Member

Date Joined Jul 2009
Total Posts : 2042
   Posted 11/18/2010 1:07 PM (GMT -6)   
Cat, thanks for passing that on. I am not on Medicare not anywhere near going on it but I am sure this info will help many here.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

Regular Member

Date Joined Dec 2005
Total Posts : 256
   Posted 11/19/2010 2:59 AM (GMT -6)   
I've been looking for a better Medicare Part D plan...right now I'm on PrescribaRX Bronze. I am looking for something that will cover Levorphanol without PA and preferably also has coverage (without PA if possible, but having in the formulary at all is important at least) for Marinol, Cesamet, Nucynta and Opana.

I'm also giving Medicare Advantage plans and such a careful look since if I'm going to go with a new Part D provider then I may want the whole package from them.
Conditions: Reactive Arthritis (AKA Reiter Syndrome), Crohn's Disease, Chronic Pelvic Inflammatory Syndrome, Sacroiliitis, Costochondritis, As Yet Unknown MS-Like Relapsing/Remitting Neuropathy, and a partridge in a pear tree.

Medications: Currently not that many are taken daily, but there are many at my disposal for part-time use. Low dose pain medication, after years at high doses. Working on innovative ways of taking lesser-known pharmaceuticals and non-prescription supplements to maximum benefit.

Veteran Member

Date Joined Oct 2009
Total Posts : 4970
   Posted 11/19/2010 8:34 AM (GMT -6)   
I've found it's best/least expensive to have a complete Medicare plan with part D included. The website has a calculator where you can input your expected visits, meds, expected procedures, etc. If you call you should be able to get a free booklet with the premiums for your area. I somehow got one automatically.

For my husband, who is healthy and uses nothing, the local (Highmark) BC/BS High Deductible plan - with no monthly premium - is the way to go. For me, and I need lots of stuff - spine injections, MRIs, CTs, blood testing, lots of meds, the same plan is best. I used up my deductible early in the year and didn't pay anything for the 10 days I spent in hospital for diverticulitis, or the knee and hand surgeries, or the phys. therapy. That's way better than paying 20% out of pocket!
Since docs are dropping regular Medicare right and left, if I want to continue seeing my docs I have to be on a supplementary plan.

Plans are like banks and grocery stores. You can't just keep the same old one without reviewing the prices every year.

Veteran Member

Date Joined Jun 2005
Total Posts : 610
   Posted 11/20/2010 8:03 AM (GMT -6)   
The taste of Subutex is terrible, but you get use to it, atleast I did. I heard that some people use a strong mint on top of their tongues (like an Altoid) while the pill is dissolving, but I have never tried this.

My insurance (WA's medicaid) wont cover even the generic subutex, which is way cheaper then the brand. They cover Suboxone for a year, and thats it, their's no Ands, Ifs, or Buts about it...I hate how insurance decide what you need or don't need. They just don't wanna cover it cause of what's it's FDA approved for, and even though I take it off label for pain, you would think the goverment would be more willing to pay for things that help addiction, and then they wonder why so many people relapse and stay addicted, it's sad....but for pain control, I think it's worth paying the money out of pocket every month, eventhough SSI only gives me so much to live with... But thanks for the information.

DX-Pancreatic Divisum, Rheumatoid Arthritis, Fibromyalgia, Myofascial Syndrome, Migraines, Allergies W/Asthma, Depression W/Anxiety/Panic disorder, Lower back Disc issues
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