Insurance companies: the Good, the Bad, & *%$@!

By Armourer Latest Reply 2014-10-21 10:37:48 -0500
Started 2012-04-10 16:15:02 -0500

Got a call today from doc office that insurance company won't authorize a prescription of Victoza now that my samples have run out, I've lost 16 pounds in five weeks, and BG is almost always in the normal range. There's five meds I have to have tried in the last 6 months for two months, with no success to be able to get the new drug. Two of the five I've been on, one was metformin which the doc took me off of cause it was damaging my kidneys. But I have to retake it for two months and amaryl too. Two of the others is Jenuvia & actos.

So the way I see it, off the Victoza which has proven to be great, take the recommended drugs which more then likely will have me gain weight back if not go higher and not control my BG. Ugh!!!!!!!!!!!!!!!!

But without the insurance company paying the bulk of the meds bill, I couldn't take anything. I'm not stressing out at all, naw.

12 replies

kc_froglady 2014-10-21 08:59:16 -0500 Report

This is a big issue for me also. I can't afford the drugs that my Dr. wants to put me on but I can't live the way I am and get better. I am at a stuck position right now trying to figure out how to move forward.

jayabee52 2014-10-21 10:37:48 -0500 Report

There are sources for help for which you may qualify. Start with your county health dept and ask them if there is something locally where you may get help with your meds, and perhaps a clinic where you may be seen.

And I want to warn you that this next suggestion comes from a discussion which is 3 yrs old and some of the info may be outdated, but check out the resources listed here ~

I pray you are able to find the help you need


JSJB 2012-04-14 07:35:39 -0500 Report

Armour, I work for a company that has ties with Merck Pharmaceuticals. There is a program called "Patient Assistance Program" which helps people with either no insurance or the insurance wont pay. Ask you doctor if he is familiar with it and see about getting an application. You would be supprised how many apps. come in. Good Luck

Lizardfan 2012-04-11 15:16:59 -0500 Report

One of my newest diabetes meds was only released in the USA in January 2012. When I asked the endo's office if it was going to be covered by my insurance co the DE said if it wasn't that my doc would write a letter stating my need for the medication. Perhaps your doctor is working on that for your behalf. I certainly hope so after your excellent run with the Victoza. Let us know your outcome. Good luck!

Armourer 2012-04-11 16:20:02 -0500 Report

Well, I guess we have to do the insurance company's red tape, I shall get amaryal for two months, have a stash of it but not take the med, used to take this 15 years ago and went off it cause it didn't work for me anymore. After the two months hopefully the Victoza.

Lizardfan 2012-04-12 14:53:55 -0500 Report

Good news…I think! I take it if your BS is controlled on the Amaryl you won't be getting the Victoza?

jigsaw 2012-04-10 22:42:58 -0500 Report

Did you call the insurance company and complain! It might be worth a try! I actually had success reversing a decision years ago. It's not easy, but it is possble. There have also been stories of insurance companies being sued over decisions not to pay. Unfortunately, i read about it years ago, so I don't remember the details. Also, I've seen some insurance companies deciide to cover meds as they prove out with time ! What ever happens, I wish you the best!