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» LymeNet Flash » Questions and Discussion » Medical Questions » Express scripts is denying Azithromycin

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Author Topic: Express scripts is denying Azithromycin
Hoops123
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Member # 18333

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Now seems to require prior authorization. They now require from the doctor:

1. the dose
2. how often it is adminstered
3. the total quantity requested, the diagnosis or indication, whether used as treatment or prevention, if the condition is chronic or acute, whether the patient is immunocompomised and HIV status.

To all of that, I say it's none of their business.
Posts: 749 | From State full of ticks | Registered: Dec 2008  |  IP: Logged | Report this post to a Moderator
willo7
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We had the same problem and we never got it approved. Had to switch to a diffeent med.
Posts: 137 | From Illinois | Registered: Jan 2010  |  IP: Logged | Report this post to a Moderator
surprise
Frequent Contributor (1K+ posts)
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Just on Azithromycin? Why?

--------------------
Lyme positive PCR blood, and
positive Bartonella henselae Igenex, 2011.
low positive Fry biofilm test, 2012.
Update 7/16- After extensive treatments,
doing okay!
Posts: 2518 | From USA | Registered: Nov 2011  |  IP: Logged | Report this post to a Moderator
lpkayak
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i had a change too...jan. 1. not sure how it will affect me yet.

seems like they are purging themselves of meds that work and pushing the ones that kill you slowly

--------------------
Lyme? Its complicated. Educate yourself.
Posts: 13712 | From new england | Registered: Feb 2004  |  IP: Logged | Report this post to a Moderator
faithful777
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We have Express Scripts and they paid for both of us to take Azithromycin. Must have something to do with the type of policy??

--------------------
Faithful

Just sharing my experience, I am not a doctor.
Posts: 2682 | From Colorado | Registered: Oct 2009  |  IP: Logged | Report this post to a Moderator
fflutterby
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So sorry my friend, hope you can get it pushed through.

--------------------
Psalm 46 1 God is our refuge and strength
Posts: 1367 | From North Jersey | Registered: Sep 2010  |  IP: Logged | Report this post to a Moderator
Tincup
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"To all of that, I say it's none of their business."

I agree! 1,000%

They may have partnered with Medco- a bunch of pigs if you ask me!

--------------------
www.TreatTheBite.com
www.DrJonesKids.org
www.MarylandLyme.org
www.LymeDoc.org
Posts: 20353 | From The Moon | Registered: Jun 2004  |  IP: Logged | Report this post to a Moderator
faithful777
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Are you all talking about brand name zith or the generic version.

--------------------
Faithful

Just sharing my experience, I am not a doctor.
Posts: 2682 | From Colorado | Registered: Oct 2009  |  IP: Logged | Report this post to a Moderator
imagine2
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They are only authorizing 6 tabs for me at a time. UNbelievable. Makes no sense at all. What purpose would that serve!! Just another of their fishy tricks. [Frown]
Posts: 677 | From Virginia | Registered: Sep 2002  |  IP: Logged | Report this post to a Moderator
faithful777
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I just got a prescription for 600 mg for 30 days filled at Costco. The generic is $10 copay. No idea what the hold up would be.

--------------------
Faithful

Just sharing my experience, I am not a doctor.
Posts: 2682 | From Colorado | Registered: Oct 2009  |  IP: Logged | Report this post to a Moderator
   

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