I was diagnosed with Crohn's disease in 2005. I have been on Colazol, Rowasa, Prednesone, Asacole, Remicade Treatments...and in November of 2007 my GI put me on HUMIRA one injection bi-weekly. This summer, I started having a really bad flair up, and I ended up in the ER once, treated for dehydration and released, and the following week ended back in hospital for a five days. The last time I was in the hospital my GI increased my HUMIRA to one injection daily, put me on Hyomax twice a day, and Prednesone. I had enough shots at home to compensate for 3 weeks (being I was in the hospital and they ordered me one in while I was there), and I thought through the mail in pharmacy I have to go through for this drug through Anthem that my prescription had been approved.....and they even set up shipping for this new script, but when the pharmacy went to ship it, they called and said it had not been approved through Anthem. Now shouldn't they have already known that two weeks in advance when I called them about the new script instead of waiting until the last minute when I needed this medication to tell me???? The original script I had on file with them was automatically voided out when the new script was sent in....so I was HUMIRALESS. In the mean time Anthem totally denied the script for one shot a week. My doctor's office is trying to appeal this, but it REALLY UPSETS ME as for THREE WHOLE WEEKS I experienced the best QUALITY OF LIFE THAT I COULD IMAGINE.....NOT ONE SIGN OF THIS TERRIBLE DISEASE, NOT ONE WORRY about BEING SOMEWHERE WITHOUT HAVING TO WORRY "WHERE IS THE BATHROOM," I COULD ACTUALLY EAT FOOD AND NOT HAVE TO WORRY THAT I WAS GOING TO BE SICK, I DID NOT HAVE LOOSE STOOLS AT ALL, I DID NOT HAVE CRAP RUNNING DOWN MY LEG BECAUSE I COULDN'T CONTROL MY BOWELS TO GET TO THE BATHROOM IN TIME, I DID NOT HAVE A MUCUSY UNCONTROLLABLE DISCHARGE, I DID NOT HAVE BLOODY DISCHARGE, I HAD NO PAIN, NO CRAMPING, AND NO BLOATING, AND I WAS FULL OF ENERGY....And then this past Saturday night I got violently ill again....and today (three days later) the pharmacy finally got me a bi-weekly supply going again, so I did have a shot today. This evening I feel a little better. The stress is not helping any, and NOBODY DESERVES TO GO THROUGH THIS IF ONE SHOT EVERY WEEK WILL HELP! What is wrong with insurance companies? If a doctor says you need a certain medication, do they think he made it up? My GI had already faxed two written letters to ANTHEM indicating WHY I need this weekly. Now we have to go through an appeal, and I feel CHEATED OUT OF LIFE OVER THIS...AND I AM ABSOLUTLEY DEVISTATED!!! Who are the doctor here?
I am praying this gets turned over in MY FAVOR!!! I want to feel normal again!!!!