non-preferred prescriptions?

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Veteran Member

Date Joined Apr 2007
Total Posts : 1366
   Posted 8/24/2007 1:17 PM (GMT -6)   
When I finally got up the courage to see my doctor about my depression and anxiety, she put me on 10mg of Lexapro and gave me sample packs worth 6 weeks. I definitely saw some major improvements, and I managed to join a yoga class and do things on my own; I even went bowling with some people I just met through my boyfriend, which is something my social anxiety would have never allowed before, or at least not happily.
Then when it came time to actually fill the prescription, I picked it up only to discover that it was 20mg of Citalopram, the generic form of Celexa. Apparently my insurance does not cover or prefer Lexapro, so I am stuck with this. Or am I?

I've been on it for two months and am now on 40mg and I still feel like I am back at square one- sometimes even worse than before with frequent thoughts like "What is the point of living? It's all just a stressful delay of the inevitable". I don't feel like it's affecting me in any way. If you try the generic and it just doesn't work for you, will the insurance then agree to cover the brand name? I've also tried Zoloft and Paxil and hated them, I want nothing to do with Prozac or anything that will make me gain weight, and Lexapro is the only one so far that I actually had a positive response with.

Have any of you had any experience with this? I know with some colitis meds they won't cover them until you've tried something else first and then they agree, so I thought maybe it might be the same here.

Elite Member

Date Joined Apr 2007
Total Posts : 32602
   Posted 8/24/2007 5:20 PM (GMT -6)   

Celexa (Citalopram) was manufactured first and it has nearly the same chemical make up as Lexapro. Lexapro does not have a generic pill out yet so it was probably your insurance that turned down the one and said must try  the Citalopram.  The pharmacy would have had to get a new order from your physician to switch the meds and someone should have told you.

If you are not doing well on the Citalopram you may petition your Insuarnce company to pay for coverage of the drug that works for you.

I hope you can get the Lexapro, to pay out of pocket it is in the $90.00 a month range.

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Veteran Member

Date Joined Sep 2006
Total Posts : 510
   Posted 8/24/2007 8:03 PM (GMT -6)   
I've noticed with some of the SSRIs that some work for me some partly and some actually make me suicidial even though I'm not in the under18 age bracket. similar drugs but all are different.

Elite Member

Date Joined Jan 2005
Total Posts : 24909
   Posted 8/26/2007 3:28 PM (GMT -6)   
Great info lil sis
I live in Ontario as you all know by now and didnt know that these drugs were not covered nor that there was no generic form of Lexapro.........I believe it is on all SSRI's regarding the suicide side effects but as you said all are different

Be well

Luvs ya lil sis

Big sis
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