Fwd: Re: Insurance refusal for Isentress

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This was ment to go to the group but didn't notice the address till it was to late. Sorry 32824 i think it only went to you. it was for the group. Sorry again will pay attention to who's name is in the address line next time. Thanks and again Sorry Ralph in Mississippi RTA <mississippi_rta54@...> wrote: Date: Mon, 31 Dec 2007 14:24:26 -0800 (PST)From: RTA <mississippi_rta54@...>Subject: Re: Insurance refusal for Isentress32824 <travis32824@...> Don't know how it is where you live but here in Mississippi if you have Medicare part D then the White program will only give you a one month supply. and then u are on your own. i have the problem of not affording the Truvada that i am on and was told this and they only

gave me a month supply witch i am out of now and have to come up with right at $200.00 for a month supply. Could use some help if anyone has any and they are not taking that drug now. email me for my address It would help greately. Don't know what i am going to do and can't find any other help here. I take Truvada and Viramune and have for a couple years now. I was on the White program till the Dr found out i had Medicare Part D then he took me off. so could really use any extra any of you might have if u have been taken off Truvada and not taking it an more. Being on fixed income SSD and with also heart problems and having to get those meds it is just out of my reach with the money. i am undeticitable and VL is in the 300's. I have been that way for over 6 years and am wondering what or how long i would last if i came off the meds compeletely except the heart meds that i know i can't stop. but for the HIV meds i may

not have a choise. either that or cut way back on food. Thanks for listning. Ralph in Mississippi 32824 <travis32824@...> wrote: On my Medicare Part D plan, Isentress wasn't on the formulary for 2008, because it just got FDA approval. However, I asked my Plan to make an exception to cover Isentress, and they are going too. The doc had to fill out a form stating medical necessity, etc. But, to cover all bases, I called Isentress Patient Assistance Program, and got approved for that, so they'd give it

to me for free (its based on income levels). So now, I'll have 2 bottles, one free, and one is $5.50. I have a feeling that your insurance simply did not have it on their formulary, and you may have to ask for forms for them to make the exception until it does go onto the formulary. Be forewarned, this process takes a few weeks. If you desperately need it now, I'd contact your local AIDS Service Organization. White funds is supposed to cover meds as "a last resort". I bet you get the approval. fredsdadus2001 <fredsdadus2001 > wrote: Just before Christmas my doc exchanged my Videx for Isentress. My insurer, Tufts, has refused to cover the perscription. What recourse do I have to counter this rejection? The nurse in my doctor's practice was contacting Tufts but

because of the holidays I haven't gotten a response yet. Has anyone else in the group had a rejection for Isentress? I've never had a problem with Tufts before.Thanks in advance for your help.Craig G. Looking for last minute shopping deals? Find them fast with Search. Looking for last minute shopping deals? Find them fast with Search.

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This was ment to go to the group but didn't notice the address till it was to late. Sorry 32824 i think it only went to you. it was for the group. Sorry again will pay attention to who's name is in the address line next time. Thanks and again Sorry Ralph in Mississippi RTA <mississippi_rta54@...> wrote: Date: Mon, 31 Dec 2007 14:24:26 -0800 (PST)From: RTA <mississippi_rta54@...>Subject: Re: Insurance refusal for Isentress32824 <travis32824@...> Don't know how it is where you live but here in Mississippi if you have Medicare part D then the White program will only give you a one month supply. and then u are on your own. i have the problem of not affording the Truvada that i am on and was told this and they only

gave me a month supply witch i am out of now and have to come up with right at $200.00 for a month supply. Could use some help if anyone has any and they are not taking that drug now. email me for my address It would help greately. Don't know what i am going to do and can't find any other help here. I take Truvada and Viramune and have for a couple years now. I was on the White program till the Dr found out i had Medicare Part D then he took me off. so could really use any extra any of you might have if u have been taken off Truvada and not taking it an more. Being on fixed income SSD and with also heart problems and having to get those meds it is just out of my reach with the money. i am undeticitable and VL is in the 300's. I have been that way for over 6 years and am wondering what or how long i would last if i came off the meds compeletely except the heart meds that i know i can't stop. but for the HIV meds i may

not have a choise. either that or cut way back on food. Thanks for listning. Ralph in Mississippi 32824 <travis32824@...> wrote: On my Medicare Part D plan, Isentress wasn't on the formulary for 2008, because it just got FDA approval. However, I asked my Plan to make an exception to cover Isentress, and they are going too. The doc had to fill out a form stating medical necessity, etc. But, to cover all bases, I called Isentress Patient Assistance Program, and got approved for that, so they'd give it

to me for free (its based on income levels). So now, I'll have 2 bottles, one free, and one is $5.50. I have a feeling that your insurance simply did not have it on their formulary, and you may have to ask for forms for them to make the exception until it does go onto the formulary. Be forewarned, this process takes a few weeks. If you desperately need it now, I'd contact your local AIDS Service Organization. White funds is supposed to cover meds as "a last resort". I bet you get the approval. fredsdadus2001 <fredsdadus2001 > wrote: Just before Christmas my doc exchanged my Videx for Isentress. My insurer, Tufts, has refused to cover the perscription. What recourse do I have to counter this rejection? The nurse in my doctor's practice was contacting Tufts but

because of the holidays I haven't gotten a response yet. Has anyone else in the group had a rejection for Isentress? I've never had a problem with Tufts before.Thanks in advance for your help.Craig G. Looking for last minute shopping deals? Find them fast with Search. Looking for last minute shopping deals? Find them fast with Search.

Never miss a thing. Make your homepage.

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There are two organizations that provide drugs for Latin America and

Africa. They may be able to help if you explain your situation.

First one is aidforaids.org based in NYC (contact person Jovina Guza

212.337.8043), second one is Viral Hope at

www.thestarfishproject.org (contact person: Marceo Maeda 212-746-

3890). Project Inform in San Fransisco and GMHC in New York may

also be of help. Good luck!

> Just before Christmas my doc exchanged my Videx for

Isentress. My

> insurer, Tufts, has refused to cover the perscription. What

recourse do

> I have to counter this rejection? The nurse in my doctor's

practice was

> contacting Tufts but because of the holidays I haven't gotten a

> response yet. Has anyone else in the group had a rejection for

> Isentress? I've never had a problem with Tufts before.

> Thanks in advance for your help.

> Craig G.

>

>

>

>

>

> ---------------------------------

> Looking for last minute shopping deals? Find them fast with

Search.

>

>

>

>

>

> ---------------------------------

> Looking for last minute shopping deals? Find them fast with

Search.

>

>

> ---------------------------------

> Never miss a thing. Make your homepage.

>

[Guest guest]

There are two organizations that provide drugs for Latin America and

Africa. They may be able to help if you explain your situation.

First one is aidforaids.org based in NYC (contact person Jovina Guza

212.337.8043), second one is Viral Hope at

www.thestarfishproject.org (contact person: Marceo Maeda 212-746-

3890). Project Inform in San Fransisco and GMHC in New York may

also be of help. Good luck!

> Just before Christmas my doc exchanged my Videx for

Isentress. My

> insurer, Tufts, has refused to cover the perscription. What

recourse do

> I have to counter this rejection? The nurse in my doctor's

practice was

> contacting Tufts but because of the holidays I haven't gotten a

> response yet. Has anyone else in the group had a rejection for

> Isentress? I've never had a problem with Tufts before.

> Thanks in advance for your help.

> Craig G.

>

>

>

>

>

> ---------------------------------

> Looking for last minute shopping deals? Find them fast with

Search.

>

>

>

>

>

> ---------------------------------

> Looking for last minute shopping deals? Find them fast with

Search.

>

>

> ---------------------------------

> Never miss a thing. Make your homepage.

>