that my doctor prescribed for me due to the fact that I have a very bad cold which is causing me to cough almost non-stop. Can anyone give me a reason why not one of the available insurance plans will cover this medication
The company I work for will cover it only after prior auth and age limits are met. I am assuming this is because the manufacturer advises: Sedating drugs may cause confusion and over-sedation in the elderly; elderly patients generally should be started on low doses of Promethazine HCI and observed closely. Paradoxical Reactions:
Hyperexcitability and abnormal movements have been reported in patients following a single administration of promethazine HCl. Consideration should be given to the discontinuation of promethazine HCl and to the use of other drugs if these reactions occur. Respiratory depression, nightmares, delirium, and agitated behavior have also been reported in some of these patients.
Stimulation may be evident, especially in children and geriatric patients. Convulsions may rarely occur. A paradoxical-type reaction has been reported in children receiving single doses of 75 mg to 125 mg orally, characterized by hyperexcitability and nightmares.
CMS figures there are better, safer drugs to use in geriatrics. You mix the sedation effects of promethazine with codeine and you could be looking at some nasty, untoward side effects. Benzodiazepines are another drug that is not usually covered by Medicare Part D plans either, for some of the same reasons. Drugs like these were used as "chemical restraints" in the elderly so now Medicare doesnt cover them.
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