How do they know which drugs are technically for IF?

I take metformin for PCOS, a prenatal b/c of TTC, and folgard b/c my dr. felt that I would benefit from it, even though my fasting homocysteine levels were technically w/in range- they were on the higer side so he felt there was a benefit to my taking this...
I'm just wondering how they determine which are IF related and which aren't. I have to call to fill my prescriptions and am just wondering if I'll be paying my usual copay or if they're going to be much more now that I don't have IF drug coverage either. Any insight?

Re: How do they know which drugs are technically for IF?

I don't know the answer to your question but if your homocystein was on the higher side you may have MTHFR which may also mean you have other clotting factors. You should do a consult with Braverman and get his testing done

Re: How do they know which drugs are technically for IF?

My Metformin, PNV and Foltx (similar to Folgard) are all covered by standard medical. While you are using them for tcc/if reasons, they are also used for non ttc/if reasons. I am Foltx whether I am ttc /pregnant or not. I am on it for life. I take a generic and only pay $10 a month. Met is a diabetic drug so you should have no problems getting it covered. PNV is not directed toward IF either. So you should just have to pay reg co pays. If the ins co gives you a prob ask your pcp or gyn to rewrite the rx.
I also agree with pp that you should ask for clotting factors to be run. My sister had it run by her ped (she was 16 at the time) and it was covered my ins. She had it done because my older sister and I both tested + for genetic clotting factors. Your doc office can check with the ins before running the test to see if it is covered. They are $$$ if not covered.

Re: How do they know which drugs are technically for IF?

I would just call your insurance company and see...

I think that basically anything that can be used for non-IF purposes is probably covered.

For me, that included estrace, doxycycline, and valium (for transfer).

A lot of insurance companies have things online too where you can just do a search for which drugs are covered - there might even be generics that are covered when your regular ones are not.

Also, if they aren't covered... you might be better off getting them from somewhere else - KWIM?

Re: How do they know which drugs are technically for IF?

Thanks guys.

Re: How do they know which drugs are technically for IF?

I'm sure the metformin is covered...
as for the folgard, not sure- I'm on Metanx (similar) and it isn't covered b/c it's technically a vitamin- and it's $45 for a month's supply w/o insurance.

Re: How do they know which drugs are technically for IF?

I think it is all the code that the dr uses on the insurance forms...

Maybe see which reasons the meds are covered for?

Re: How do they know which drugs are technically for IF?

I don't have any IF med coverage, but my Folgard is covered...abx get covered and sometimes other random little things