I am pissed! We have no prescription. My insurance company is driving me crazy. It's been a week now. I've been on the phone with the insurance company and the doctors office fpr hours a day. The doctor needs to fax something to the stupid insurance group about the prescription. It's $175.00 with no insurance and I can't do that! Why can't they do this simple task? I saw the paper the doc needs to fill out and fax and it would take 20 seconds for him or his nurse to do. AAAHHHHH!!!! Every morning when my son has his first episode of the day I can't help but think WHERE ARE THE MEDS! They probably think I'm the crazy one, calling a couple times everyday. Then when they tell me the doctor isn't in on Tuesdays...Why didn't he do it Monday? do they think this isn't a big deal? When my sanity is on the line it IS a big deal. ARGH!
Thanks for letting me vent.
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Our family doctor prescribed Adderall for Nathan's ODD and ADHD. We need pre-authorization from the doctor to the insurance company in order for insurance to pay for the prescription. There's a ton of phone tag and being on hold. Sometimes I feel maybe this isn't the right thing to do, but then he has one of his episodes and I regret not trying medicine sooner. I've already called the pharmacy twice today and it is not ready. Today Nathan has been acting up a lot and is more hyper then usual. The trip to Walmart was terrifying. He finally was managable when he knew he would be getting a can of worms to go fishing with Dad this evening. I'm very anxious to start the Adderall. Am I crazy?
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i know how you feel. Josh is on adderall and it make a big differences you can tell when i forget to give it to him.
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Hello. I do understand what you are going through. My son who is 11 now has PDD, ADHD, Mode DIsorders, WHat ever they are calling it now days. And Ticks. I got him on Fish oil when he will take it. I have gone the Medication route and did not work. You are doing the best thing for you and him. I so do hope it works. If you need to talk let me know. Good luck on this journey.




that would drive me crazy too. But i went through that 2 months ago hang in there.
traceyj813
It's called prior authorization...and it means the medicine your dr prescribed isn't on your insurance's formulary (a list of preferred drugs) So, they want your dr to tell them that you need this specific medicine, and not one on their forumlary before they will pay for it. I know it sucks. It can take up to a week or more sometimes. But usually drs offices have a designated nurse to deal with the insurance companies, it's hardly ever the actual dr doing it, so maybe ask them if a nurse can just do it? I'm not usre, but just hang in there...it will get worked out. Just a heads up, the next time you talk to your insurance make sure you arent going to have to go through this everytime you get the prescription. Because of the kind of medicine, you can't have refills on the prescription, so make sure they aren't going to give you the run around next time too.
kelly7463