LoveBWVVBR
DIS Veteran
- Joined
- Oct 14, 2005
*UPDATE POST 69*
We just received information that our child's monthly medicine will no longer be covered on our insurance formulary. We were already paying over $180 a month for this (generic!) medicine. Going to another generic isn't possible as this particular medication had a host of generics disallowed as substitutes about 2 years ago. Those generics didn't work the same. Only the one our child takes works well. I can't imagine what it will cost without the insurance rate if it's $180 a month WITH the insurance rate. Also, without it being on the formulary, does that mean that we pay OOP and then it doesn't even go towards the deductable? We have a high deductable health plan, but in the past the $180+ a month went towards the deductable.
What choices do I have here? I'm guessing an appeal won't be possible. I'm don't even know if I can order it from Canada as it's technically controlled (ADHD med). Thank you for any guidance.
We just received information that our child's monthly medicine will no longer be covered on our insurance formulary. We were already paying over $180 a month for this (generic!) medicine. Going to another generic isn't possible as this particular medication had a host of generics disallowed as substitutes about 2 years ago. Those generics didn't work the same. Only the one our child takes works well. I can't imagine what it will cost without the insurance rate if it's $180 a month WITH the insurance rate. Also, without it being on the formulary, does that mean that we pay OOP and then it doesn't even go towards the deductable? We have a high deductable health plan, but in the past the $180+ a month went towards the deductable.
What choices do I have here? I'm guessing an appeal won't be possible. I'm don't even know if I can order it from Canada as it's technically controlled (ADHD med). Thank you for any guidance.
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