I am so mad. How can they do this? Is there something else that I can take besides zith that would do just as good?
I'm not really worried about me affording it but my daughter will be taking it next and there is no way she can afford this. She has the same ins. co. that I have.
Is there anything we can do? I am so mad that I can't see straight. Hubby is going to call them tomorrow but I doubt it will do any good.
Anyone else had this problem?
Take care,
Sapphire
The problem is actually with the formulary tables that are created on a yearly basis. These tables use common dossages supplied by the manufacturer for all meds for both children and adults. The problem now though is there are alot of off lablel uses for alot of these meds.
I had the problem with Zithromax in the beginning as well, but the doctor called the insurance company and we were able to get it setup to cover 60 pills on one copay, for all of us.
The point I want to make is don't stop with the first person you speak to at the insurance company. Keep going up the ladder until you feel you have the response that you are looking for.
If all else fails go directly to the office of the president of the insurance company. In most cases the team that works for that office can get alot of things accomplished. Always make sure you keep good notes when calling recording all of the people who you have talked too.
Zithromax is due to come off patent this year.
[This message has been edited by hwlatin (edited 09 May 2005).]
6 pills for one copay.
So I had to go back every 3 days for my medication. I had to pay the copay every 3 days. It starts to really add up.
Not only is it financially a pain in the butt but time-wise it is a pain in the butt. Who can go to the pharmacist every three days?
There was nothing they would do or my doctor could do.
Ended up changing insurance companies when my husband changed jobs and had no problems getting 30 day supply of Zith with the new health insurance company.
My husband is on it now too because he can't tolerate tetracycline class. He may not stay on it though.
I get mine from Canada for about 15% less than retail in the US. Most of the pharmacies are good that I looked up when I was looking to Canada for Zith.
On a good note, the pharmacist at Costco was yelling so loud at the guy from BC/BS on the phone about how they are denying treatment to lyme patients! It made my day!
One more reason why Costco goes the extra mile for the consumer....unlike the insurance co.'s.
Pfizer may have a program to let you get the med cheaper. You may have to have your doctor help you apply for coverage from Pfizer. It is good that their patent is expiring!
That will help bring the cost down. There must be something similar you could take that does not cost so much...I hope someone has the answer to that.
Hubby called our ins. co. (BC/BS) today and they gave him a number to have our dr call and maybe he could get it approved for longer than 3 days.
Will let you know the outcome. I sure hope he can convince them that it is medically necessary. That's what they said he needed to do.
Thanks to you all for letting me know I'm not alone in this.
Take care,
Sapphire