I have degenerative bone disease, broken vertebrae's & multi.operations. I was on Fentanyl patch 100mcq every 24hrs. Just got changed to Opana ER 30 in am & 40mg in PM plus 80mg total of methadone per day. I've only been on Opana ER for a month, like the fact that I don't have to wear a patch plus the pain control was up & down. My insurance company called today b/c they asked for 6 months of records to make sure I can get my BT med Fentora 200mcq up to 4-6 buccales each day(mostly 4). The insurance comp. said they will not pay for any Fentanyl medications. I'm allergic to morphine, I go to my doctors tomorrow and need to know what might be a good option for me for my breakthrough pain. Has anyone used reg. Opana or anything else? Thank you in advance for any help. I'm scared I won't be able to function & I'm sure my Dr's knew the change was going to be done this month. I don't feel like it's just by chance that my doctor just changed me to Opana ER last month from fentanyl patches. Also, if there is a conversion chart that lists BT meds w/ dose conversion Thanks for your help!
I have had many surgerys also abdominal and back fusion that failed .
I am allergic to morphine also i am on Fentyal patchs 100 mcg and 50 mcg also allergic to adhesive from them .3 yrs now doctor has done shots ,blocks, spinal cord stimulator , all they have I was on Fentora it was like a god send it worked very well for me my insurance changed because i retired early due to all these surgerys and they will not pay for them im sure you know they are in the $3000 a month range i was on 400,s up to 4 or 5 a day BT pain hits fast and strong so the sublingal helped so good i have less than 17 % of lg intestine left ,sigmoid is gone , have had a couple obstuctions in lg and sm intestions now the back going failed fusion. Have you thought of pain pump you can get it with Fentayl . At this time my BT is percocet 10/325 that i have to chew due to them slowing down bowels which to me i may as well through them over my shoulder Lol they give no relief i know Fentora worked very good for me with no side affects like tired or any of them i would see if your insur would pay for them .I am sorry for the long responce but you sound as if you are in the same position with pain management as me . If you do not mind could you let me know if you have tried any or all of the things like i have ,I do hope you can find the helpfull BT that works, Fentora worked better than anything for my BT . I am thinking of going to new pain management doctor , may be the the answer for me
What are you trying to convert.
Yes I have taken the opanas I like them. Opanas are likethe chemical in oxycotin after it passes thru your liver. ( I think or kidneys but my point is it's stronger and doesn't have to be chemically changed that one step is skipped).Everything you have mentioned I have tried. I know about alot of programs and ways to get those scripts paid for if you want to know I would be happy to answer you. I'm trying to locate a pharmacist representative in Springfield MO if any one knows how to locate one please let me know. I am trying to get a Fentora voucher the pharmasict representatives hand them out to doctors and there is one for Fentora that pays for 28 tablets. But the voucher I have is expired and my dr has only ever prescribed it to me. So if you can help me I'm in urgent need of this script.
What insurance is it if you don't mind me asking? I know state insurance picks and chooses what meds they will pay for and how many a day they will allow you to have. My pain meds are covered thru auto insurance due to the car accident I was in. The auto insurance will pay for any pay med I have been prescribed thus far, even the oxycodone which was well over $1500 a month. They just won't pay for duplicate scripts or refills too early, just like any insurance does.
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