My Express Scripts pharmacy plan recently informed me that they will stop covering a particular brand name drug (Suboxone) that I need to take every day. They do cover generic versions of this same drug (buprenorphine/naloxone), but I’ve tried several of these generic versions and they’ve all caused me to feel ill after taking them. Increasing the dose has no positive effect whatsoever.
I’ve never had to file a formulary exception before. For those of you with greater experience/knowledge in this area, are there any helpful tips you might be able to provide?
Regarding some advice about formulary exceptions that I saw on another post: I’ve been taking this drug for 4 years now, and it has been highly effective, so I would hope that they might continue to cover it on that basis. I have medical records from my doctor that attest to my complaints about the side effects from generic buprenorphine, and I can also cite peer-reviewed research papers attesting to the existence of this issue. However, there are several different manufacturers of generic buprenorphine, and I don’t believe I’ve tried every single one, so I don’t know if that would be considered “exhausting” my options.
Any thoughts or advice on this matter would be greatly appreciated, thank you!
submitted by /u/Xiaolingtong
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My Express Scripts pharmacy plan recently informed me that they will stop covering a particular brand name drug (Suboxone) that I need to take every day. They do cover generic versions of this same drug (buprenorphine/naloxone), but I’ve tried several of these generic versions and they’ve all caused me to feel ill after taking them. Increasing the dose has no positive effect whatsoever. I’ve never had to file a formulary exception before. For those of you with greater experience/knowledge in this area, are there any helpful tips you might be able to provide? Regarding some advice about formulary exceptions that I saw on another post: I’ve been taking this drug for 4 years now, and it has been highly effective, so I would hope that they might continue to cover it on that basis. I have medical records from my doctor that attest to my complaints about the side effects from generic buprenorphine, and I can also cite peer-reviewed research papers attesting to the existence of this issue. However, there are several different manufacturers of generic buprenorphine, and I don’t believe I’ve tried every single one, so I don’t know if that would be considered “exhausting” my options. Any thoughts or advice on this matter would be greatly appreciated, thank you!
submitted by /u/Xiaolingtong [link] [comments]Read Morer/HealthInsurance