Looking at health insurance supplemental plans outside of Medicare D, No insurance company I've found accepts Nefazodone! (including AARP - United Healthcare) ANY HELP would be GRATEFUL - can't take any other med as a replacement - had serious side FX by others per psych doc. Thank You!
Nefazodone not accepted by Medicare Part D?
- 2 Mar 2014 by allergictomeds
- 20 September 2014
- nefazodone, medicare part d, health care, insurance, medicare, health insurance, health
Added 3 Mar 2014:
I'm not sure why the question title was posted this way - not what I meant or wrote. I did not say Medicare D did not accept Nefazodone.
What do you mean outside of medicare part D. Are you not on medicare? One thing I've found, is that insurance companies say some meds are over prescribed so they raised the tier they are on, or won't pay at all. The interesting thing is, all the meds are either for emotional problems or pain. Have you looked at coventry healthcare? I'm showing it as a tier 3 on coventry. Have you done things like check what you'd pay if you joined the saver plans at pharmacies, because some of them have prices that would be lower then the copay on these medications.
I'm sorry but I don't get the same response from Medicare. All 31 plans in the Boston, MA area list your drug as either a Tier 2 or 3 medicine. Humana, UnitedHealthCare, Aetna, First Health, Express Scripts and other nationwide coverage plans all pay for this medication, so I am not sure what you are looking at that leads you to feel there is no coverage by a Part D plan. If you opt for the Part C plan in lieu of A, B, & D all 15 plans cover this drug. If you still feel differently, maybe you can provide your zip code.
Even if your insurer doesn't cover, though I can't see why they wouldn't, nefazodone is pretty cheap being a generic-only med, made by Teva of Israel like many generics. Your best bet is to have either Costco or Wal-Mart order it for you as most don't keep it in stock but at those type places it will be WAY cheaper than at overpriced CVS and Rite-Aid type places. Alternatively you could do it via an online med delivery service and get a 3-month supply.
- Nefazodone Information for Consumers
- Nefazodone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Nefazodone (detailed)
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