skiilady
12-26-2006, 05:46 PM
I need to know something. I can not take Morphind, Methadone,. Have been on oxycodone, then he put me on Oxycodone 40mg. ER. and my insurance does not want to pay for the med. What would be next to try, preferably in the extended release meds. but would like to know any med. I pretty allergic to the tape on the paches. I would appreciate any imput. I appreciate this board so much..
skiilady
skiilady
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forginon
12-26-2006, 05:59 PM
I need to know something. I can not take Morphind, Methadone,. Have been on oxycodone, then he put me on Oxycodone 40mg. ER. and my insurance does not want to pay for the med. What would be next to try, preferably in the extended release meds. but would like to know any med. I pretty allergic to the tape on the paches. I would appreciate any imput. I appreciate this board so much..
skiilady
Do you know why your insurance carrier won't cover the oxy ER? Are they outright refusing, or are they wanting proof that something else has been tried and failed first? Maybe they require a prior authorization? I would try to find out and work the system.
Being unable to take morphine and methadone makes it more difficult. Other ER meds include oxymorphone and I believe hydromorphone, but if insurance is balking at oxy ER, they may have trouble with these also.
Again, try to determine the reason for the insurance problem and see what hoops you need to go through to resolve it.
skiilady
Do you know why your insurance carrier won't cover the oxy ER? Are they outright refusing, or are they wanting proof that something else has been tried and failed first? Maybe they require a prior authorization? I would try to find out and work the system.
Being unable to take morphine and methadone makes it more difficult. Other ER meds include oxymorphone and I believe hydromorphone, but if insurance is balking at oxy ER, they may have trouble with these also.
Again, try to determine the reason for the insurance problem and see what hoops you need to go through to resolve it.
skiilady
12-26-2006, 08:04 PM
Yes they say I should try morphine, and methadone which I tried morphine about a year ago and could not take it, and recently treid methadone. And cant take that either. So not the Dr is appealing it, just hadn't got the final answer, and I have an app. thursday. Forgot to mention I'm on oxycodone 15 now for BT pain, and Oxycodone 40 mg ER as I mantioned above. Thanks for your reply. I app. it.
Fabrashamx
12-27-2006, 02:46 AM
HI Skii,
I have been in this position with similar meds, and I can tell you that when the doctor calls and says he or she wants you on this medication and no other, for whatever reason, It was never turned down, nor have I heard of anyone else being denied in the same situation. But the time involved for the doctor to contact them, and for them to get back to you with an approval, can be time consuming and a pain in the rear, lol. Good luck to you and let us know how it goes.
Your Friend, Fabby :wave:
I have been in this position with similar meds, and I can tell you that when the doctor calls and says he or she wants you on this medication and no other, for whatever reason, It was never turned down, nor have I heard of anyone else being denied in the same situation. But the time involved for the doctor to contact them, and for them to get back to you with an approval, can be time consuming and a pain in the rear, lol. Good luck to you and let us know how it goes.
Your Friend, Fabby :wave:
Shoreline
12-27-2006, 04:33 AM
Hi Ski Lady,The Duragesic patch is another alternative, LA oxymorpione is called OPANA and been around less than a year. There is a LA version of Dilaudid in Canada but it was pulled from US shelves last year. I didn't see what country your in. As fa as denying meds, Fabby is right, If there is a medical reason you can't take meth or morph, they have to give you some option, Where you actually alergic? Your idea of can't and their idea of can't take those meds may be very differwent. Allergies are an absolute reaon to try something else, iot liking the way a med makes you feel may take a little convincing as far as aproving meds that aren't on their formulary.
Good luck, Dave
Good luck, Dave
skiilady
12-27-2006, 02:37 PM
I called the today to see if they could give me the bottom line as to why they are not paying for this med. So not the Dr. office is looking into it today. I will let you guys know. Thanks so much for your imput. You guys are great.
skiilady
skiilady
skiilady
12-30-2006, 09:21 PM
The Dr. finally faxed a appeal in, so i'm waiting on that to see fi they will pay fro the meds or not. I went in and bought them friday, and they cost 236.13 dollars. The pharmacist said they were not likely going to pay for it if they do appeal it. Does anyone know how this works, or how long it takes.
skiilady
skiilady
skiilady
01-13-2007, 11:58 PM
My appeal was turn down, so medicaid will not be paying for Oxycodone 40ER Does onyone have an ideal, I take oxycodone 15mg for breakthough if that make a difference. I have heard on what I checked with they will not help if you are taking an narcotic. Please help anyone, for a way to get assistance, this med really seems to help me.\
skiilady
skiilady