... pharmasist cannot get it and get this; my insurance will not pay for the generic! I don't get it, they will pay for the name brand but not the generic. Anyone else have this happen or have any idea why? Thank you for any help you can give
Yes, this is common and the reasons for it vary beyond my ability to understand how some insurance companies work. You can call the insurance company and ask them, they will be more than happy to tell you their policy/reason. That doesn't mean it will make any more sense or be any less frustrating. Ultimately, it is they who are in charge of our well-being, not the Dr. (seems that way anyway). Hope this helps.
They are probably saying that they dont pay for brand name but do pay for generics but Opana and/or its generic is probably not on their formulary so they wont pay for it at all. Probably MSContin would be your best bet for a long acting drug. If you already take the short acting, you should be able to take the long acting and MSContin has been around for a long time so it is one of the least expensive and should be covered by the insurance because there are many generics. Opioid drugs DO cause itching. All of them can. It is because they cause the release of histamine so you can get flushing and itching. It is a side effect of the medication. You might try taking a non drowsy antihistamine to see if that helps-something like Claritin you can get OTC. Another cheap long acting drug is Methadone but I would only recommend methadone if you know you will have to be on pain pills for the rest of your life because they are very difficult to stop taking once you become dependent on them. If you take methadone, it is very important to NEVER increase your prescribed dose because with methadone, even though the pain relieving effects have worn off, the respiratory depressive effects hang around for a long time after and if you take more than you should you can stop breathing. That is true for most any opioid but especially so for methadone. You might want to check your insurance companies formulary to see what is actually covered.
- Opana Information for Consumers
- Opana Information for Healthcare Professionals (includes dosage details)
- Side Effects of Opana (detailed)
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
Posted 28 Oct 2010 • 2 answers
Posted 21 Feb 2012 • 1 answer
Posted 8 Mar 2012 • 3 answers
Posted 28 May 2013 • 16 answers
Posted 3 Mar 2016 • 8 answers