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Thread : Insurance company not covering non-generic meds  
16 May 2008 @ 11:58 AM
rachelfran Join Date: Fri 16th May 2008
Threads: 2 Posts: 0
Insurance company not covering non-generic meds

My daughter is almost 16 and was recently diagnosed with ADD. The doctor put her on Vyvance - but gave us a 30 day free trial of the drug but when it came time to fill a new prescription - the insurance company wouldn't cover it; I called and they said they would only cover a generic amphetamine. I told this to the doctor and instead he prescribed Adderall XR - which, again, they refused to cover;

The doctor refuses to prescribe a generic amphetamine as he says it's highly marketable and kids can snort it so morally he's opposed to making it available to teens in his practice. This is all well and good but the vyvance cost us $125 for a one month supply which we filled and paid for since we were out of meds and had to do something.

I'm wondering if anyone has been in this situation and what you did -- OR if you give your child generic meds and is it OK or did you find some other medication that your insurance WOULD cover that works as well?

Thanks for your feedback!

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5 Jun 2008 @ 8:59 AM Reply # 1
badger Join Date: Thu 8th Nov 2007
Threads: 3 Posts: 90
Insuranc and non-generic meds

I was in this situation and it took the doctor writing a letter to the insurance company. It was a letter of necessity. If that doesn't work he will need to call the insurance company. That is what worked for me with the Vyvanse. Hope this helps.

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26 Sep 2008 @ 6:03 PM Reply # 2
tjones Join Date: Fri 26th Sep 2008
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What you can do to get insurance to pay for this name brand drug

I work in the healthcare and have seen this many times. You need to get your health care provider to write a letter to your insurance company to preauthorize this drug Vyvanse. It may take a little bit of time but your physician can also call the insurance company. Vyvanse andAdderall are all in a class of their own.. and from previous experience I have had nothing but negative outcomes from -strattera, concerta, focalin, metadate- last four are all from same drug base. Good Luck

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