... recently turned 65. He said He would be fined if he prescribed it for me. Also he said it is prohibited to me because of my age and regulations due to the affordable care act. I have many friends in the same boat with different medications and doctors, but they are getting the same information from their medical professional(s) upon turning 65. Why?
There is going to be confusion. I have no idea where he got the idea he can't prescribe hydroxyzine. Its an antihistamine for petes sake. Medicare is being a pain about pain meds because the gov thinks were the reason there are prescription meds on the street. I know of no regulation against hydroxyzine. Ask your pharmacist about it. They should know.
Medicare is just like any other plan even under Obamacare. There are formularies and only certain drugs are covered. This could be different State to State and plan to plan as to what is covered and what is not and how much you will pay for it. If it is not on the formulary, it wont be covered. I havent heard anything about fining Drs for prescribing certain meds but it doesnt surprise me. I think we are all going to get a lot with "Obamacare" that we didnt expect! And Yes, hydroxyzine is listed as a "high risk" drug for those 65 y/o or older. Here are the risks in those 65 and older taking hydroxyzine: Anticholinergic side effects: worsened cognition & behavioral problems (especially in dementia); urinary retention OR incontinence; confusion; enhanced sedation. People taking drugs like Ambein. Lunesta etc. are going to have trouble getting them at 65 and older as they are also on the "high risk" list.
These lists are comprised through data gathered by CMS (Centers for Medicare & Medicaid Services) and HEDIS (Healthcare Effectiveness Data and Information Set)
From the FDA Guidance - Hydroxyzine Hydrochloride Tablets are a Drug Efficacy Study Implementation (DESI1) effective drug for which there are no known or suspected bioequivalence problems, and as such is rated “AA” in the FDA/CDER’s Approved Drug Products with Therapeutic Equivalence Evaluations (“Orange Book”).
I see nothing in the 2010-2014 Drug Safety Communications database on this drug or anything in the Drug Alerts and Statements. It is also not listed in the Healthcare Professional Information sheet, Early Communication About an Ongoing Safety Review, or other important information.
A review of the 2014 Medicare drug website shows 33 companies that cover this drug in either or both the injectable or pill format. I believe that your doctor is confusing this drug with a different drug possibly an antihypertensive. If your doctor is not willing to disclose the document he is basing his decision on I would find another doctor. Also, does his practice accept Medicare?
- Hydroxyzine Information for Consumers
- Hydroxyzine Information for Healthcare Professionals (includes dosage details)
- Side Effects of Hydroxyzine (detailed)
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