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» LymeNet Flash » Questions and Discussion » Medical Questions » Medicare Tindamax Coverage

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Author Topic: Medicare Tindamax Coverage
WIGGY
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Is anyone with Medicare part D able to get Tindamax covered?


Humana tells me the problem is Medicare can't come to an agreement with manufacturer.


In my Humana book it shows "covered" Tier 3


They will not cover for me. If anyone is covering this via Medicare, a different plan, I would enroll so it would be covered.

Flagyl is covered but I can't tolerate.

Is there any other "cyst busters"?
Posts: 128 | From MICHIGAN | Registered: May 2008  |  IP: Logged | Report this post to a Moderator
Lymetoo
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Isn't there still a generic "tinidazole?"

--------------------
--Lymetutu--
Opinions, not medical advice!
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WIGGY
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They tell me their is only 1 manufacturer

Tindamax/tinidazole - it

shows as covered in Humanas book but when I go pick

it up I get a different story.
Posts: 128 | From MICHIGAN | Registered: May 2008  |  IP: Logged | Report this post to a Moderator
WIGGY
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I looked at Humanas website just now and they have

switched it from a Tier 3 covered drug to uncovered

drug

(UGH)
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Abxnomore
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Call some compounding Pharmacies and see what it would cost to compound Tinidazole. It might not be as expensive as you think.
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WIGGY
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ok - thank-you!
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WIGGY
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abxnomore,
I am going to be able to get Tinidazole for less

than my Humana Tier III "copay" through the

compounded pharmacy!!!!!!!!!!!!!!!

Thank-you so much
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Abxnomore
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You are very welcome. I have mentioned this several times on other posts but no one has listened.

I'm so happy to hear this. Good luck!
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Abxnomore
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I even get my compounded natural thyroid meds for less and it has no filler or additives.
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nonna05
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What great info....I wonder what else can be made there???
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little_olive
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Sure hope this works for me tomorrow--Medicare doesn't cover my Tindamax script either.

Have three compounding pharmacies to call!

--------------------
Myalgic encephalomyelitis, 2002 | Viral onset, following Hep B vaccine
Lyme since '06 | Bartonella since '08 (cured) | Mycoplasma pneumoniae since '08
IGeneX: IgM 31IND 34IND 41+ | IgG 39IND 58+ 41+++
IgG deficiencies and MTHFR 677TT mutations
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Abxnomore
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Here's a list of compounding pharmacies:

http://www.healthy.net/resources/Compounding_Pharmacy.aspx
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little_olive
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Wiggy how on earth did you get your meds?

All the pharmacies informed me that the patent on Tindamax has not run out yet, so in the USA, there IS NO AVAILABLE GENERIC for it yet.

I have Silverscript coverage (with Medicare) so I called them and they said I could attempt a Fast Appeal and would have my answer within 5-7 days. They said if the doctor fills out the exception form and faxes it to them, they usually fill it. Have had to do this once before for Sporanox (which costs about $800).

little olive

--------------------
Myalgic encephalomyelitis, 2002 | Viral onset, following Hep B vaccine
Lyme since '06 | Bartonella since '08 (cured) | Mycoplasma pneumoniae since '08
IGeneX: IgM 31IND 34IND 41+ | IgG 39IND 58+ 41+++
IgG deficiencies and MTHFR 677TT mutations
Posts: 512 | From USA | Registered: Sep 2010  |  IP: Logged | Report this post to a Moderator
   

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