I don't understand how Medicaid works..i know here they wont approve the Effexor xr........don't think your alone in your thought process...I do the same thing....I keep my meds in the top drawer of my bedroom and now that that is full I have started to fill my fruit bin in the fridge thinking it will keep it fresh longer. I probably have four months of meds stashed. I have old meds I went off of just in case I may need them again. I am a total med hoarder.