LymeNet Flash: Insurance paying for bicillin shots?

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Posted by bubbalyme (Member # 11652) on :

Hi All,

Has anyone had any luck getting Blue Cross to pay for bicillin shots? We've just been denied coverage for it, and we've had to pay out of pocket for the second month. It's not cheap.

Does anyone know where to get cheap bicillin? [Smile]

Thanks,
Bubbalyme

Posted by feelfit (Member # 12770) on :

I have Federal Employees BC/BS.

Just recently went on IM Bicillin and the total cost for 10 1.2 box was 278.00. BC/BS paid 173.00 and I paid 105.00.

LeFave Pharmacy in Alpena, MI.

hope this helps.

Posted by BOEJR (Member # 1734) on :

So far I have not had a problem...

Posted by Dancer (Member # 11039) on :

Don't know if this applies to Blue Cross... but when I started Bicillin (which I bought at my pharmacy and brought to my GP's office to have them do injections) the Bicillin wasn't covered on my pharmacy benefit, just because it wasn't one of the meds on their formulary list of covered drugs.

BUT someone at my insurance company told me that because this drug is administered in an MD's office, and the MD doesn't keep it in stock so I must buy and bring it myself, it will be covered under my regular MEDICAL benefit. They said I need to submit a claim with the pharmacy receipts and/or appeal, if needed, explaining this about the MDs office and it will be covered.

Hope that helps somebody.