Guest guest Posted May 9, 2006 Report Share Posted May 9, 2006 If the brand name is GF and the generic is not, have the Dr. write NO Generic Substitutes on the Rx and you'll get the name brand (and possibly a higher co-pay). Kerri Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+ countries) for 2¢/min or less. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2006 Report Share Posted May 9, 2006 > > If the brand name is GF and the generic is not, have the Dr. write NO Generic Substitutes on the Rx and you'll get the name brand (and possibly a higher co-pay). Kerri > > Hi. The pharmacist was able to find a GF generic for one of the two medications. Not the other. It's the higher copay that irks me. It's more than triple the difference. :-( If I weren't already stuck taking two med's that don't have generics, I might be more good natured about it. Oh well. I should be counting my blessings that a - I have insurance b - there are medications to keep me alive c - I can afford the copays d - I know to look for hidden glutens in medicines e - my pharmacist and doctor are diligent. I was just wondering if any one here had successfully lobbied an insurer to pay for the name brand medication when there is no suitable gluten free generic. The newest medication had that old bugaboo " pregelatinized starch " , but this manufacturer was kind of enough to put " (corn) " in the fine print. :-) Corn is my friend. Esther in RI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2006 Report Share Posted May 9, 2006 My insurance program does have a "qualifier" that says if there is no generic available you pay the generic price From: SillyYaks [mailto:SillyYaks ] On Behalf Of esther_p210Sent: Tuesday, May 09, 2006 4:19 PMTo: SillyYaks Subject: Re: generic drugs >> If the brand name is GF and the generic is not, have the Dr. writeNO Generic Substitutes on the Rx and you'll get the name brand (andpossibly a higher co-pay). Kerri> > Hi. The pharmacist was able to find a GF generic for one of thetwo medications. Not the other. It's the higher copay that irks me. It's more than triple thedifference. :-( If I weren't already stuck taking two med's that don't have generics,I might be more good natured about it.Oh well. I should be counting my blessings that a - I have insuranceb - there are medications to keep me alivec - I can afford the copaysd - I know to look for hidden glutens in medicinese - my pharmacist and doctor are diligent.I was just wondering if any one here had successfully lobbied aninsurer to pay for the name brand medication when there is nosuitable gluten free generic. The newest medication had that old bugaboo "pregelatinized starch",but this manufacturer was kind of enough to put "(corn)" in thefine print. :-)Corn is my friend.Esther in RI Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 10, 2006 Report Share Posted May 10, 2006 Check with the insurance company and let them know that this is a medical necessity NOT a preference. Often they will have no issue with allergens........ I have had two different responses from insurance companies. With one (Healthpartners), it was actually no problem what wo ever to get a medicine that worked better for me, but wasn't on their formulary. The other (Aetna) made me pay the higher copay. And my most recent run in has actually been with Walgreen's pharmacy. I was in need of a muscle relaxant and the doctor spent 40 minutes with me trying to figure out one that was non-narcotic AND GF. The only one we could say for sure was GF, was Soma. She even wrote on the prescription " Brand only-medical necessity " . I got calls for the next 3 weeks over this one. Walgreens called me asking if I would accept generic. Told them I had no problems with generics, but we cannot guarantee that they are gluten free--okay, we'll write that down. Then they called the doctor's office who in turn called me asking the very same thing. This went on for nearly two weeks. Every single call was exactly the same--if the we could not guarantee the generic was gluten free. Even telling them about my actual wheat allergy didn't work. They just could not understand that it had nothing to do with the medicine, but everything to do with what they mixed the medicine with and that I COULD NOT TAKE IT! Hope this helps, Cheryl in Tampa Quote Link to comment Share on other sites More sharing options...
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