Drugs and Insurance

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New Member

Date Joined Nov 2006
Total Posts : 5
   Posted 11/29/2006 5:14 PM (GMT -6)   
I just joined the Healingwell site due to questions I had in regards to ulcerative colitis.  However, I have been a chronic migraine sufferer for many, many years and I think I still have alot to learn.  My migraines are hormonal and I will get them every month and I'll usually have them for 3-4 days.  I'm on hormone therapy and amytriptyline for frequency and Zomig as an abortive.  The Zomig works pretty well if I take a couple, however recently my insurance company reduced the # of pills I can have in a month from 9 to 6.  I've started cutting pills in half to try and stretch things but have frequently ended up with a migraine because I don't get enough of the drug in my system fast enough.  What do I do?  Can insurance companies arbitrarily cut qty's like that?

Regular Member

Date Joined Nov 2006
Total Posts : 81
   Posted 11/29/2006 9:29 PM (GMT -6)   
You need to have your neuro write a letter and contest that decision.  I used to have to fight to get my DHE for my migraines- the only way insurance would cover the expense was having my neurologist send a letter of medical neccesity.  After all, it is cheaper for them to give you a few extra pills than have you head to the ER a couple times a month.  As long as they see that they are saving money- you will be golden!
Off Topic- Have you noticed there are quite a few people on here with Migraines and UC or Crohns?  I'm a crohnie myself.
IBS 1996, Crohns Diagnosed after extreme flare in Feb. 2006, Emergency Appendectomy Memorial Day 2006 MEDS: Prednisone, Imuran, Lomotil, Darvocet, Phenegren, Reglan, Digestive Advantage, and way too many vitamins   
Migraines Diagnosed 1990, MEDS: Neurontin 900 mg, Prozac. As needed: DHE, Reglan, Phenegren, Maxalt, Amerge, plus all the pain meds (Dialudid, Nubain, Stadol) Allergic to Imitrex

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