I'm fighting my insurance about Ambien .. which I have taken for more than 15 years with no issues.
So .. we are trying Rozerem and if I fail that one, they may "let" me have Ambien again.
This is so ridiculous.
Posted by Lymetoo (Member # 743) on :
So .. I picked up my script for Rozerem today. What a crock!!! It cost me $45. She said my insurance paid $650 for this $#%#!!
I'm afraid to even take it!!
It's so nuts that my insurance doesn't want me to take Zolpidem, which I've taken for 16+ years .. (It's dangerous...hahaha)
Zolpidem cost them probably $10 and cost me about $5 a month.
The pharmacy tech said the prescription service/insurance company probably has a contract with the manufacturer of Rozerem.
So if I die from taking this, you can sue them for me.
This is the third drug on their qualifications list. If I fail all 3 drugs, then they will pay for the Zolpidem.
How screwed up is this!!!???
Posted by Rumigirl (Member # 15091) on :
I am so sick of the "Pharmacy Benefit Managers!" Read, deny at all costs. They are practicing medicine without a license, which is illegal!
I've been fighting a denial of a generic nasal antihistamine spray for my husband for months!! It's mind-numbing. I, his doctor's office, and several pharmacists have spent endless hours each. 44 pages of records sent---still no dice.
In the meantime, it went to his lungs without it, he had to go to his GP, take abx and an inhaler, which he still needs. I finally made him use my bottle of it. But now I need it, too, and can't go the doctor. Grrrrr!!
Unreal.
Posted by Lymetoo (Member # 743) on :
It's so ridiculous .. They make our doctors and nurses spend too much time handling this mess!!!
I'm off to take my pill .. wish me luck and if anyone is still up .. say a prayer!
Rumi .. keep pushing them! GRRRR!!! Posted by SickSam (Member # 45330) on :
Lymetoo, it looks like it would be cheaper to just use a GoodRX coupon and pay cash for the zolpidem? Looks like it would cost you around $10-15. Might be something to consider.
Posted by Lymetoo (Member # 743) on :
I wish I had done that! I was thinking the same thing as I lay there wide awake tonight.
This is so stupid.
5 a.m. and I've been awake all night. I have a busy day ahead.
My side effects from Rozerem:
chest pain/pressure stomach pain tinnitus dry mouth headache INSOMNIA
Posted by SickSam (Member # 45330) on :
Oh no! Sorry Lymetoo, hate to hear that. Once I find a med that works, I hate changing. It's so hard to find things that agree with our bodies!
Posted by Lymetoo (Member # 743) on :
No kidding... I react to so many things....
I slept fitfully from 5:30 to 8:00 .. Feel like ____!!
Posted by Lymetoo (Member # 743) on :
Still totally exhausted .. but I have good news.
I called the pharmacy to see what it would cost to pay for Ambien out of pocket. Just for grins he ran it through insurance again and it went through.
$15 for 90 day supply. I asked how it went through and he said probably because I had already filled the stupid Rozerem.
Posted by Rumigirl (Member # 15091) on :
Good grief! Thank goodness. You got "lucky!" These blasted PBM's are completely larcenous! (Pharmacy Benefit Mangers). Grrr is right.
Posted by SickSam (Member # 45330) on :
Oh wow, that's crazy! Glad you got your Ambien though!
Posted by Lymetoo (Member # 743) on :
Nine hours of blessed sleep last night!!
Posted by TF (Member # 14183) on :
So happy for you.
Hubby has taken ambien for years and needs a very small amount to sleep every night.
I told him what insurance was doing to you! Wow!
Posted by Kudzuslipper (Member # 31915) on :
Hello Tutu! Just checking in with Lymenet. Glad you got your Ambien. I am sure that one day, there will be a study that says-- yes Ambien is dangerous for everyone by Kudzu and Tutu and all those with xyz insert medical jargon here... I was forced to see a sleep doctor to get mine... it's a pain in the butt... but it's the only thing that works for me without any side effects.
Posted by Lymetoo (Member # 743) on :
It's so stupid. Rozerem has a LONG LIST of side effects... and it's useless!
Posted by HW88 (Member # 48309) on :
Why fix what isn't broken.
Glad you got it worked out lymetoo. No sleep makes me CRAZY!
Posted by Lymetoo (Member # 743) on :
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