posted
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!!!???
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96109 | From Texas | Registered: Feb 2001
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Rumigirl
Frequent Contributor (1K+ posts)
Member # 15091
posted
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.
Posts: 3766 | From around | Registered: Mar 2008
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posted
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.
Posts: 748 | From Texas | Registered: Feb 2015
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posted
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!
Posts: 748 | From Texas | Registered: Feb 2015
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posted
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.
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96109 | From Texas | Registered: Feb 2001
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Rumigirl
Frequent Contributor (1K+ posts)
Member # 15091
posted
Good grief! Thank goodness. You got "lucky!" These blasted PBM's are completely larcenous! (Pharmacy Benefit Mangers). Grrr is right.
Posts: 3766 | From around | Registered: Mar 2008
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-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96109 | From Texas | Registered: Feb 2001
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TF
Frequent Contributor (5K+ posts)
Member # 14183
posted
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!
Posts: 9931 | From Maryland | Registered: Dec 2007
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Kudzuslipper
Frequent Contributor (1K+ posts)
Member # 31915
posted
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.
Posts: 1725 | From USA | Registered: May 2011
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