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New Member
Member Since May 2019
Location: Oklahoma
Posts: 3
4 |
May 17, 2019 at 09:04 PM
#1
I had an emergency appointment with my psychiatrist yesterday. He gave me a prescription for Rexulti and said he was very hopeful that it would help me. When I went to pick it up the pharmacist said my insurance (BCBS Anthem) wanted a prior authorization. Today I got a message from BCBS saying that my prior auth was denied and gave me little other detail, except that they want me to go on Abilify first. I've tried that before and it didn't work. By the time I got the message my doctor's office was already closed and I can't reach them or my insurance company until Monday, and of course I'm sure it will take a lot of time to get straighted out. I thought I had found something that might really help, and work quickly, so I'm really down about not being able to get the help I need now, not next week or next month. I've searched for hours but I can't find out what kind of "step therapy" that they require. If anyone has any suggestions or similar personal experiences, I'm open to any information that I can get.
Thanks for listening. |
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 BeyondtheRainbow
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 BeyondtheRainbow
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Wise Elder
Member Since Apr 2015
Location: US
Posts: 9,223
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May 19, 2019 at 12:38 AM
#2
Could your doctor give you some samples Monday to get you through until you have the prior auth?
__________________ Bipolar 1, PTSD, GAD, OCD. Clozapine 250 mg, Emsam 12 mg/day patch, topamax 25 mg, ,Gabapentin 1700 mg & 100-2 PRN,. 1.5 mg clonazepam., 50 mg Seroquel |
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New Member
Member Since May 2019
Location: Oklahoma
Posts: 3
4 |
May 19, 2019 at 08:53 AM
#3
Thanks for the advice, but he doesn't have any samples and I'm not waiting on a prior authorization, it was already denied.
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Legendary Wise Elder
Community Liaison
Member Since Jul 2011
Location: Tennessee
Posts: 22,450
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Jun 25, 2019 at 04:47 AM
#4
Your Doctor just needs to document that Abilify was already tried and was not helpful. Honestly is a one page form that takes a few minutes to fill out.
I went through this once for a medication same situation and it got sorted out with a couple days. Hope it gets resolved soon __________________ Helping others gets me out of my own head ~ |
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