Because I don't have the diagnosis for sleep apnea, shift-work disorder or narcolepsy, my insurance won't cover Nuvigil. Like others on this post, it is making a BIG difference in my life. I have Seasonal Affective Disorder (SAD) and only need Nuvigil for about 5 months. I see others have diagnoses that are outside the official prescription indications. How are you getting your meds?
Sorry - I can't give you a guaranteed answer - I get mine because I do have sleep apnea. You might want to check with your insurer for Provigil - it is the medication that came out before Nuvigil, and I hear it is very similar. Perhaps the insurance wouldn't have such a problem with that. You also might want to try having your doctor fill out the Prior Authorization for Nuvigil, detailing the benefits you receive from this medication. The key words to use are "medically necessary". I agree that his medication helps a lot - it's helped me much better than Vyvanse and Intuniv ever did. Best wishes - ElizaJane
I am 68 and have sleep apnea and have been perscribed nuvigil'provigil by my doctor but it was denied by my insurance company (even if the perscription had been approved by my insurance company they would only have paid about $200 of the $600 cost). I went directly to Cephalon for assistance but was denied because I have drug coverage (catch-22). Does anyone know of a reliable Internet source where I could buy it buy it?
I have severe chronic fatigue syndrome
And my dr has tried for 3 yrs to get me this med even with a pre auth and the insureance won't budge one bit
My insurance covered Nuvigil for 2 years and then decided they would no longer cover it, but would cover Provigil a sister drug to Nuvigil. Might ask you doctor to right an appeal requesting Provigil which has had studies done for conditions other than the top three. I take it for hypersomnia. Funny thing is the Nuvigil is cheaper than the Provigil even though the Provigil is generic now. Go figure!!
I was denied both drugs too. On three different insurance companies. I had a sleep study done, and, of course, it was negative too. Finally, I found a doctor who said when his patients with severe fatigue problems, was denied, he prescribed an ADD medication, and it helped. I already take ADD medicine, and have for years, because I'm very ADHD. Lol. But I also have fatigue problems and my Dr. Upped the dose some to give me some relief. I found it soo disturbing how those two medications are not approved to hardly anyone. I took a 15 day trial of Nuvigil, helped me soo much, then found out my insurance wouldn't accept it, and had to stop. I was soo angry, because it helped so much. We can't help it if we have chronic pain conditions that require pain medicines, and they make us tired.
And we can hardly find anything to give us the energy we need to get going and try and do the things we need to do around the house. It's a shame... really. But take care, have faith, and somehow hopefully you'll find an answer. Shine
- Nuvigil Information for Consumers
- Nuvigil Information for Healthcare Professionals (includes dosage details)
- Side Effects of Nuvigil (detailed)
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