client needs help with the cost, drug plan will not pay for it being compound. any idea's on how to get help? the medication is Hydrocodon 40mg / APAP 81.25
Hello Isabel and welcome to DC. I am not sure what you are asking. Is it possible to get your "client" or patient on another medication that is covered? My pdoc is pretty good with that stuff, for instance. I wouldn't even offer another suggestion without knowing what that person is being treated for. Are you trying to go with compounded? You won't get that compounded, by the way. So have you tried to get a script filled at a regular pharmacy and the cost is prohibitive - to high?
Can you give more information please...
Hi - I get 7 of my medications compounded, pay for them out-of-pocket and submit them to my insurance for reimbursement. Very expensive! The only way my insurer will pay is if I have a documented allergy to an ingredient that is present in all the different brand name and generics of that medication or to those similar to it. The research is outrageous! Pharmacies help some but don't have the time to research much - so I do it. Anyway, without an allergy it isn't likely they will pay. There are many different manufacturers of this medication. Have you asked the pharmacy to try a different manufacturer or go to another pharmacy for one? There are so many different inactive ingredients - each med contains the same active ingredient, but the inactives can make it an entirely different med. usually a med that has generics is made by 4 or 5 different companies. Go to pillbox.com, the one by NIH, and search the med there and you will see. And if your client can get approval to see an allergist perhaps he/she can find out the source of the problem. Another option might be to try a different pain med, even Oxycodone with a lower strength. Regards - ElizaJane
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