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Originally Posted by Sapien
So I got a letter saying the appeal to get invega sustenna covered was denied. The reason? "We don't cover it because, well, uhhh, we don't cover it (because it's expensive as fk and we want to profit off you, not actually help you)." (I may be paraphrasing but that's what the letter said minus the parenthetical. I could try appealing again but I have a feeling that won't get anything done. The nurse said they have samples but that's not always a guarantee. I would go to the pills, but they don't cover those either!
Happy National Chocolate Milk Day everyone!!!
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Hi Sapien. Have you considered writing to Janssen Pharmaceuticals? They have a patient assistance program. Qualifying is not a guarantee, but you never know until you try. You can see info on that at
Paying for INVEGA SUSTENNA(R) - Cost Support | Janssen CarePath It would be good to let them know that your insurance refuses to pay for it. Believe me, big pharma doesn't like that! Just a thought. Here's another link to their contact info, if of interest:
Patient Assistance | Janssen United States Picking up the phone and calling their 800 number might be a good first step.
If I had tried Risperdal (also a Janssen product) and my doctor recommended Invega, instead, I'd be telling Janssen why I needed Invega over Risperdal. Didn't you recently write akathisia as the reason? Does your doctor think Invega might not cause the same reaction? I assume both have been effective for your moods and/or psychosis? I've taken both the pill forms of Risperdal and Invega, in the past. Neither gave me akathisia, but I understand we all have unique reactions to meds.
I haven't had chocolate milk in ages. Sounds yummy! Maybe I'll make some cocoa soon. It's been chilly, lately. I do have the ingredients to make that.