I swear, the pharmaceutical industry and the insurance industry must be cahoots with each other.
They do everything that they can to get the most amount of money from people for the least amount of work or money being spent on their end of the transaction.
One of my medications is not being made any longer, well, let me rephrase that.
The generic of it is no longer being made, and my insurance company will not pay for the real name brand one unless my doctor calls them and gets prior authorization, tells them that it is medically necessary to have it because the generic is no longer being manufactured.
The real name brand one costs a lot of money, a wicked lot of money.
The generic version of it would cost me $789.95 for a quantity of 90 pills, if I didn't have insurance.
The real name brand one would cost me $1,325.00 out of pocket if I didn't have insurance, for the exact same amount, 90 pills.
My doctor does not want to switch me to another pain medicine unless he absolutely has to because this one works very well for me, he doesn't want to have to make me take something else that may not work as well, and then go through possibly months of trying on new medications until we find one that works.
Getting this particular one took about 5 months of trying a new one every single month until finding this one worked the best.
So basically, I went to my doc appointment today and got all of my prescriptions, 4 of them, but was only able to get 3 of them filled until Humana either decides to cover the name brand one, or forces my doctor to write a new script and start the drug try-ons until we find one that works as well as this one does.
I have been on and tried so many different pain relievers, I could write reviews of them as easily as I have written diet pill reviews on my blogs.
I really do not want to have to try a new drug, or several new drugs.
It sucks trying out new ones, they all react differently with my body, and the one pain med that I absolutely do not want to ever have to take again, not even for a week or so, is Ultram/Tramadol. (the generic is Tramadol)
That one makes me feel like total crap.
It makes me feel agitated and angry, like if anything is even normally mildly upsetting, that little thing makes me explode violently and I start screaming and yelling at anyone within earshot.
It also makes me feel dirty and gross, like slimy and disgusting, and no amount of showers makes that feeling go away, it makes me feel strung out, like jacked-up, cracked-out.
It's how I imagine smoking crack would make me feel.
It also upsets my stomach.
Most narcotic pain relievers cause you to be constipated, I deal with that by taking a stool softener every 3 days or so.
On Tramadol, (the generic) it's the exact opposite, it causes diarrhea, so the whole time I am taking it, I need to stay close to home, close to the bathroom, and I can not eat much at all because it just comes right back out, explosively.
So the doc's office is calling Humana and faxing them, a medically necessary-please approve the name brand medication form, and the doc's office will call me tomorrow to either let me know that I can go to the pharmacy and pick it up, or go back to the doc's office and get a script for a brand new pain reliever.
I am hoping that they will approve it, I really hate trying out new ones, it sucks a wicked lot.
Tramadol is what Mark's doctor has him on, and poor Mark, he is suffering the exact same side effects that I get while taking them, and they really aren't helping his pain much either unless he takes 3 of them at once, but then taking that many causes him to be really agitated and have the stomach upset 3 times worse.
He went and had his MRI last week, and we're supposed to go in tomorrow for the results and a refill of his meds, but I don't have any transportation, and I am not going to spend $40 for a cab ride, so I had to call and cancel his appointment.
I am going to call and talk to a few friends, and ask them if they could give us a ride, they can pick the day that works the best for them, and I'll just tell his doc to either fit us in on that day, or they'll have to wait until I can find another ride from someone else.
Getting his test results are a huge priority for me, I need to know exactly what Mark has and how bad it is.
These results will determine whether or not Mark can go ahead and apply at the police academy and take the law classes in college. (you need to apply at the police academy and then go take the classes)
If his back is really bad, if he has a lot of spine deformities and nerve damage, it will negatively impact his life-long career choice.
If his bad is super bad, if he can't be a cop like he's always wanted to, I will have 10 times more guilt over this than I already do.
I feel absolutely horrible that my genetics, that my DNA, may have destroyed his ability to be a police officer.
The day that I heard that he has spondylosis, I came home and cried my eyes out.
I so didn't want him to have anything medically wrong with his back, I was so hoping that his doctor would just tell him to lose weight, that because he's overweight, that's why he has lower back pain, that's what I wanted to hear, not that my DNA has been handed down to him.
I have to find us a ride, someone that will take us there and either wait possibly for an hour or 2, or drop us off and come back to pick us up when the appointment is over.
I need to find out what's wrong and how we're going to treat it, if it can be treated by bracing or physical therapy, or if it's bad enough to need surgery.
Once I get the results from his doctor, I am going to try and fight with medicaid to get a second opinion, and that second opinion will be from my surgeon, Doc M.
Doc M. is the most qualified spine specialist in this state, Mark's doctor even said that if he thinks Mark's spine needs surgery, that he would send him to Virginia to be treated by a specialist there, he already knows that he's not qualified to do the surgery himself.
I am almost scared to get the results, I don't want it to be any worse than what it is right now, just the spondy and arthritis, I am so afraid that he's got other spine deformities, maybe scoliosis, or severe nerve damage like I have.
I do not want him to have to go through any of the years of pain and hell that I've been through, I won't be able to handle that, I don't want my son to suffer like I have.
====================
They do everything that they can to get the most amount of money from people for the least amount of work or money being spent on their end of the transaction.
One of my medications is not being made any longer, well, let me rephrase that.
The generic of it is no longer being made, and my insurance company will not pay for the real name brand one unless my doctor calls them and gets prior authorization, tells them that it is medically necessary to have it because the generic is no longer being manufactured.
The real name brand one costs a lot of money, a wicked lot of money.
The generic version of it would cost me $789.95 for a quantity of 90 pills, if I didn't have insurance.
The real name brand one would cost me $1,325.00 out of pocket if I didn't have insurance, for the exact same amount, 90 pills.
My doctor does not want to switch me to another pain medicine unless he absolutely has to because this one works very well for me, he doesn't want to have to make me take something else that may not work as well, and then go through possibly months of trying on new medications until we find one that works.
Getting this particular one took about 5 months of trying a new one every single month until finding this one worked the best.
So basically, I went to my doc appointment today and got all of my prescriptions, 4 of them, but was only able to get 3 of them filled until Humana either decides to cover the name brand one, or forces my doctor to write a new script and start the drug try-ons until we find one that works as well as this one does.
I have been on and tried so many different pain relievers, I could write reviews of them as easily as I have written diet pill reviews on my blogs.
I really do not want to have to try a new drug, or several new drugs.
It sucks trying out new ones, they all react differently with my body, and the one pain med that I absolutely do not want to ever have to take again, not even for a week or so, is Ultram/Tramadol. (the generic is Tramadol)
That one makes me feel like total crap.
It makes me feel agitated and angry, like if anything is even normally mildly upsetting, that little thing makes me explode violently and I start screaming and yelling at anyone within earshot.
It also makes me feel dirty and gross, like slimy and disgusting, and no amount of showers makes that feeling go away, it makes me feel strung out, like jacked-up, cracked-out.
It's how I imagine smoking crack would make me feel.
It also upsets my stomach.
Most narcotic pain relievers cause you to be constipated, I deal with that by taking a stool softener every 3 days or so.
On Tramadol, (the generic) it's the exact opposite, it causes diarrhea, so the whole time I am taking it, I need to stay close to home, close to the bathroom, and I can not eat much at all because it just comes right back out, explosively.
So the doc's office is calling Humana and faxing them, a medically necessary-please approve the name brand medication form, and the doc's office will call me tomorrow to either let me know that I can go to the pharmacy and pick it up, or go back to the doc's office and get a script for a brand new pain reliever.
I am hoping that they will approve it, I really hate trying out new ones, it sucks a wicked lot.
Tramadol is what Mark's doctor has him on, and poor Mark, he is suffering the exact same side effects that I get while taking them, and they really aren't helping his pain much either unless he takes 3 of them at once, but then taking that many causes him to be really agitated and have the stomach upset 3 times worse.
He went and had his MRI last week, and we're supposed to go in tomorrow for the results and a refill of his meds, but I don't have any transportation, and I am not going to spend $40 for a cab ride, so I had to call and cancel his appointment.
I am going to call and talk to a few friends, and ask them if they could give us a ride, they can pick the day that works the best for them, and I'll just tell his doc to either fit us in on that day, or they'll have to wait until I can find another ride from someone else.
Getting his test results are a huge priority for me, I need to know exactly what Mark has and how bad it is.
These results will determine whether or not Mark can go ahead and apply at the police academy and take the law classes in college. (you need to apply at the police academy and then go take the classes)
If his back is really bad, if he has a lot of spine deformities and nerve damage, it will negatively impact his life-long career choice.
If his bad is super bad, if he can't be a cop like he's always wanted to, I will have 10 times more guilt over this than I already do.
I feel absolutely horrible that my genetics, that my DNA, may have destroyed his ability to be a police officer.
The day that I heard that he has spondylosis, I came home and cried my eyes out.
I so didn't want him to have anything medically wrong with his back, I was so hoping that his doctor would just tell him to lose weight, that because he's overweight, that's why he has lower back pain, that's what I wanted to hear, not that my DNA has been handed down to him.
I have to find us a ride, someone that will take us there and either wait possibly for an hour or 2, or drop us off and come back to pick us up when the appointment is over.
I need to find out what's wrong and how we're going to treat it, if it can be treated by bracing or physical therapy, or if it's bad enough to need surgery.
Once I get the results from his doctor, I am going to try and fight with medicaid to get a second opinion, and that second opinion will be from my surgeon, Doc M.
Doc M. is the most qualified spine specialist in this state, Mark's doctor even said that if he thinks Mark's spine needs surgery, that he would send him to Virginia to be treated by a specialist there, he already knows that he's not qualified to do the surgery himself.
I am almost scared to get the results, I don't want it to be any worse than what it is right now, just the spondy and arthritis, I am so afraid that he's got other spine deformities, maybe scoliosis, or severe nerve damage like I have.
I do not want him to have to go through any of the years of pain and hell that I've been through, I won't be able to handle that, I don't want my son to suffer like I have.
Poor Mark. I know that tramadol ickyness too. It must be very hard for you to see him in pain.
My PCP who prescribes my pain meds (I do have a contract like you) told me that soon the Feds are making docs switch their oxycotin patients to morphine. It it just awful that since this drug is so abused that chronic pain patients will soon not be able to have a drug that works and that doctors who prescribe them are harassed.
My doctor has asked that I write to the Board of Health. I encourage all readers of your blog
to do the same.