My insurance will only pay for 28 pills of 4mg of Zofran in a 30 day period and my doctor has prescribed 4 mg 3 times a day. Wondering if my doctor wrote the script for 8mg and I used a pill splitter, I could at least get the medicine two times per day covered.
If he prescribes 4mg 3 times a day and writes for 8mg tabs, it is likely they will only pay for 15 tabs then. What you need to do is contact your insurance company's medicine management team or just the customer service dept by calling the number on your insurance card. Talk to them and explain your situation and see if there is any way to file for an exception and what all needs to be done to get the exception. You may have to enlist your Drs help-he may have to send documentation as to why you need more than the allotted formulary amount. Many insurance companies will allow certain exceptions but you have to ask, they dont do it unless you ask specially and probably provide a little extra information from your Dr. If you have a Case Manager assigned to you at your insurance company, this is something he/she may be able to help you with. I work for an insurance company and we do stuff like this all the time so dont think it cant be done. The squeaky wheel gets greased so call them up and ask! Good Luck!
- Zofran Information for Consumers
- Zofran Information for Healthcare Professionals (includes dosage details)
- Side Effects of Zofran (detailed)
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