Quote:
Originally Posted by bluebicycle
Is this Emsam you're talking about?
If you are talking about Emsam, I think there is no generic, correct? If so, can you ask your pdoc for Emsam samples?
Another thing I thought of: I don't know if this would work, but can you go to the hospital (if/when you run out) and request an Emsam prescription there? Would you be able to then make an insurance appeal and state that you went to the hospital as an "emergency" and that they gave you an Emsam Rx? Then I think it would be harder for them to reject coverage for the time being if that's what the drs prescribed "in an emergency," or that maybe the hospital can help you come up with a payment plan until things get sorted.
Dunno. Just trying to see if there is a way the hospital can help out so that you're not in a locked unit in there. Obviously you're exposing yourself to coronavirus just by going in there, but it'd be better than being in a tiny Petri dish for a while.
|
It is Emsam.
My pdoc doesn't have samples. I doubt many do as it has been out for a very long time. But the hospital my pdoc works in does not allow drug co. reps to give employees anything, including samples, to avoid undue influence.
The ER also won't have any; when I go IP I bring my own because it is too rarely used for them to stock. If I got a script it would still cost $945 and I just don't have that. My current fight is with patient assistance, not insurance and I doubt I could convince my insurance to reduce the cost if I made the decision to fill the script.
I get it through patient assistance but somehow it has gotten screwed up about 10 times (I sent the paperwork to my pdoc's office 1/22 and it has been one problem after another since) and I've gone from having surplus to 2 weeks worth. And in that 2 weeks they have to approve, send it to my pdoc (can't send it to me because they don't have a pharmacy) and then my pdoc has to either send it to me or I have to go to the petri dish of her office which includes 5 hours of driving so I'd have to use a public bathroom sometime and that doesn't seem so smart. So things have to happen fast.
To be strictly honest and yes I know this bad, I'm stretching my patches out to extend how long I have, wearing one for 2 days. I don't know what I'll do if I run out; I"ll have some time before I feel unbearably bad and hopefully we'll get the meds before then but IP is a distinct possiblity, although it is also a really good fighting point. I'll just have to fight it out as hard as I can if it comes to that. Maybe we can increase my clozapine and while I can't function on that dose who really needs to function right now (being on disability of course)? I suppose there are options, they just mainly suck. And from past experience when my AD levels drop enough I need IP ASAP (this was when I went on Emsam, not because of stopping it. I've not stopped it in 10 years.) So maybe it has a long enough half life to buy me some time.
Thanks for the suggestions. I hate shooting down idea after idea; this is just a weird situation (like why is "legal" working on my application now?????? Nobody explains these things). Thanks for letting me think it through and realize IP isn't completely inevitable.