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Feb 14, 2018 6:36 AM

So I found out yesterday that my insurance may not cover my meds anymore because I haven't "exhausted" all my options. Apparently 3 failed back surgeries did not count.
I'm not complaining. I live within my limitations and take every day a moment at a time. However if they no longer cover a $800 medication, what options do I have? I have tried magnesium, tumeric, CBD oil (hemp, no THC), mint, yoga, acupuncture, dry needling, and more. Suggestions? Just looking for ideas and options.

Feb 14, 2018 7:23 AM

Can the doctors office help talk to the insurance company? They sometimes know what to say.

Feb 14, 2018 9:45 AM
Feb 14, 2018 3:13 PM

Pfizer gives Lyrica to most people for free. They have high income limits

Feb 15, 2018 5:00 AM

It's Nucynta. The manufacturer will cover $150 but the cheapest I could find out of pocket is $700. Honestly I'm considering paying it this month and hopefully the authorization goes through for next month. I can't remember the last time I was in this kind of pain. It's almost unbearable. Haven't slept and can't focus. Hopefully it's approved today.

Feb 15, 2018 12:02 PM

Can your physician prescribe you higher doses of Tramadol which is structurly similar to Nucynta?

Feb 18, 2018 11:18 PM

Sorry to hear about your medication issues. Hopefully, all will work out, but if not have you tried other types of CBD? Not just oil or hemp? What type of pain do you have?

Feb 26, 2018 12:46 PM

My insurance won’t cover Nucynta either. The cost was $1,200 out of pocket. The doctor wont prescribe other opiates so I can either pay $1,200 or be in pain.

Mar 02, 2018 3:44 PM

Medication eventually was approved. The pharmacy screwed up. Have I tried pot? Not lately because I'm drug tested. But I'm considering dropping my meds and switching over because it does help...A lot.

Mar 04, 2018 3:30 AM

I hate insurance. They've gotten out of control and have thrown the medical economy totally out of whack. Its nigh impossible for me to try a medication that could change everything because it would need to be made at a compounding pharmacy.

Mar 05, 2018 9:17 AM

I just put that medication through Blink and for 30 tabs. 50 mg. It's $187.00. You can use BlinkHealth prescription program on-line. It's helped me.

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