I'm 82, in a wheelchair, & suffer from severe perpheral neuropathy. Why can't I get "Nuvigil or Provigil" vs. "Methylphenidate"? - as far as insurance is involved? I've insurance & Medicare, but neitther one will or authorize me to purchase Nu or Provigal. I can't afford the cost of Nu or Provigil. BUT-even my Dr. says Methyphenidate is dangerous & may cause a "heart-attack"; yet Nuvigil would work as well without the side effects! But I can't buy it!
I take Provigil and use to take Nuvigil. I'm on Medicare and have a supplemental insurance. Medicare made me switch from Nuvigil to Provigil several years ago. At the time Provigil had not gone generic and Nuvigil was cheaper, but Medicare said no. I have to go through a review process every year to get the Provigil covered. My doctor has to get it authorized by explaining why I need it as opposed to other choices. Have you appealed their decision?
Appeal, appeal, appeal. Have your doctor write a letter of medical of necessity, explain the RXs you have been on, how they've been ineffective and the fears she/he has with you on them vs Nuvigil/Provigil. There is a HUGE difference amphetamines and Nuvigil/Provigil; use a 30 day trial coupon for 30 days of 250 mg. Nuvigil & if your doctor feels that dose is too high, great, you'll have extra. For me amphetamines make me better aware of my thoughts and surroundings, Nuvigil (I've been on Provigil too, Nuvigil is superior) takes things a step further and puts all the thoughts together. Clarity is a wonderful thing. Best wishes on your insurance battle, it's worth your time...
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