... refuses to pay for it. Is there a similar drug I can get, preferably over the counter? I'm told that the provider will not pay for anything the doctor at my clinic prescribes.
I would fight your health insurance tooth and nail. They have no business telling you what your doctor thinks is the best medicine for you to have. You do have rights. If they don't listen to you and your doctor, (trust me, I've done this more times than I care to count), tell them you are going to report them to the insurance commissioner in your state. I'm not sure what they call the insurance regulation dept. in your state, but I;m sure if you go on their web page you can find out.
It seems absolutely ridiculous that they won't pay, as ondansetron is a generic, and not very expensive, compared to name brands. When it was Zofran, originally, my insurance company would only give me nine pills a month, but now that it is generic, I get 21. My doctor gives me 8mg., knowing that I cut them in half, as four is the recommended dose. That way, I don't run out should I need them during the month. It also helps because many months I don't have to keep purchasing another medication, so it saves me $$.
Good luck to you, but don't take no for an answer. Just keep asking to speak to each person's supervisor, if they turn you down. that is the only way you can get through to an insurance company.
Hi thomasssmith - It kind of sounds like your doctor isn't covered any more??? Perhaps that is why? Or, the clinic itself doesn't accept the insurance any more but the doctor still does. I have been in those situations before between physical therapy and the psysiatrist I was seeing. I couldn't see the PT part on the same day as the doctor who runs it or he would get denied. You might just have to find another clinic or doctor who takes your insurance.
- Ondansetron Information for Consumers
- Ondansetron Information for Healthcare Professionals (includes dosage details)
- Side Effects of Ondansetron (detailed)
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