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» LymeNet Flash » Questions and Discussion » Medical Questions » Prior authorization and Mepron???

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Author Topic: Prior authorization and Mepron???
lea
LymeNet Contributor
Member # 15593

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I was prescribed Mepron today, and I went to fill my prescription.

The pharmacist said that my insurance (BC/BS of CA) will not cover the Mepron without prior authorization.

They said they would fax my llmd the forms to fill out.

Has anyone run into this before?

What are my chances of getting the Mepron covered?

As a side note, I did test positive for babesia.

Posts: 146 | From California | Registered: May 2008  |  IP: Logged | Report this post to a Moderator
pab
Frequent Contributor (1K+ posts)
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Our insurance didn't pay for Mepron when my kids were taking it. We paid out-of-pocket but it didn't take too long before we met our maximum out-of-pocket.

We have needed prior authorizations for other meds. Our insurance company faxes our doctor a form to fill out. There usually isn't a problem. Sometimes you have to try other meds first.

Good luck!

Peggy

--------------------
Peggy

~ ~ Hope is a powerful medicine. ~ ~

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lea
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Thanks.

I have already met my out of pocket max, so does that mean they are more likely to cover a medication?

Posts: 146 | From California | Registered: May 2008  |  IP: Logged | Report this post to a Moderator
   

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