All due respect Balbanese, this suggestion may not work. With Medicare you usually have a formularies and coverage tiers and they will only cover what is on the formulary no matter what the Dr writes. Why dont you want generic Imitrex? Do you have bad side effects or it doesnt work? You may need to go the route of contacting the company covering your Part D plan and ask for an "exception". Your Dr will need to go to bat for you and write a letter explaining why you need the Brand name over the generic formula. You will pay your highest copay for the drug. Generally they will make an exception once your Dr writes an explaination of why you need brand over generic within 72 hours of receiving notification from your Dr. There may be a quantity limit on the drug as well and if this doesnt work for you, you will need to also ask them to waive the limit and your Dr will need to also write the reason why this is needed. Usually they will only make an exception if preferred alternative drugs (in this case the generic) or any restrictions would not be as effective for treating your condition and/or would cause you to have adverse medical effects.
- Imitrex Information for Consumers
- Imitrex Information for Healthcare Professionals (includes dosage details)
- Side Effects of Imitrex (detailed)
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