Ok, so first off let me say, that I am very grateful to even have coverage, but that aside I am very frustrated.
I was working up until the end of August and had private insurance through my employer. After I wasn't working, I applied for Medicaid for myself and my children. Medicaid finally kicked in at the beginning of November. I went to my internist because I needed refills on my meds and they wouldn't fill them without an office visit (it had been since July since I had seen him). Anyway, because my weight was up (which he has always been on me about my weight) and my BS numbers weren't where he wants them (my fastings were in the 140's or so) he took me off Janumet - which I had been on for the last 2 years and put me on Actosplus Met and Byetta. He also prescribed me Metanx because I was complaining about some pain in my right foot and he did a tuning fork test thing and said I have peripheral neuropathy starting. (I was shocked at this because I haven't had real high blood sugars, the highest I have ever had was 205 when I was diagnosed in 2007).
Anyway, on to my rant. Medicaid covered the Actosplus Met and the Metanx. He didn't give me a prescription right away for the Byetta because he wanted to see how it was going, plus I had a months supply with the sample he gave me. Anyway, he finally a few weeks later his office called in a prescription for the Byetta for me and low and behold Medicaid said that it needed pre-authorization. That was 3 weeks ago. I called the office again yesterday and asked how the preauthorization was going. I was told that Medicaid keeps denying it. I asked why and was told that they said I needed to try other meds first. Umm, I have been on Metformin, I have been on Janumet and now Actosplus Met (which I am not crazy about) what else do I need.
To add to this, I also have been on Cymbalta and Protonix (for acid reflux) for several years. Now when I am not on Cymbalta I am not pretty to live with. Medicaid will NOT cover these. So my doctor wrote me a prescription for Effexor and Prilosec. They are denying these too. I told the nurse I talked to yesterday that the only reason that the doctor changed to these was because they wouldn't cover the Cymbalta or the Protonix. Now I have been without Cymbalta for a month and I am a complete mess. I am so depressed and irritable it isn't funny.
I am so frustrated!!!!
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