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dm24angel
Happiness

Member since 5/05 34581 total posts
Name: Donna
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I HATE my insurance , HATE throwing up TOO!
Im freaking out here.
I take Zofran 3 times a day. On it I still throw up like 1-4 times a day on a bad day.
Without it, I throw up everything I put in my mouth.
So I take it ( as PRECRIBED) 3 times a day.
So yesterday I call to get a refill, I had 3 left at lunch time yesterday and the pharmacy says its too soon? Huh? it was 13 days since I filled it and at 3 a day I should have technically been up in 10 days.
I call Oxford and they say the policy is 30 pills over 23 days. Thast less then 1 and 1/2 a day.
I explain I take 3 a day and without them, Im afraid I will be in the hospital, costing THEM more anyway.
Of course ( I work for insurance , I get it)...they dont care.
so they say the Dr can request an authorization for a higher quantity.
WHY AM I BEING told this on a Friday at lunch time of a holiday weekend and not when I FILLED the RX?
So the Dr's office tries and they are told for a 3 day Prescription, Oxford has to approve it, it takes 24 business hours, should be able to get the Rx by TUESDAY night.
The Dr's office says just buy some from the pharmacy to hold you over.
I call..they are over $30 a PILL and for 10 its $323!
I dont HAVE that kind of money and oxford sayis " if approved" I would get reimbursed in 30 business days ( 2 months)
So now Im terrified to eat or drink anything
Great New years to come....
Sorry so long I just really had to vent that out. Thanks for listening.
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Posted 12/30/06 11:24 AM |
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Bobfan24
LIF Infant
Member since 5/06 250 total posts
Name:
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Re: I HATE my insurance , HATE throwing up TOO!
That's a disgrace!!!! I'm so sorry, sweetie.
Insurance companies made me so mad! And the pharmacies don't help!!!
Do you think your doctor has any samples to give you?
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Posted 12/30/06 11:30 AM |
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dm24angel
Happiness

Member since 5/05 34581 total posts
Name: Donna
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Re: I HATE my insurance , HATE throwing up TOO!
Posted by Bobfan24
That's a disgrace!!!! I'm so sorry, sweetie.
Insurance companies made me so mad! And the pharmacies don't help!!!
Do you think your doctor has any samples to give you?
No samples of a pill like this. Its technically a drug used in Chemo and SOO much $$
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Posted 12/30/06 11:33 AM |
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sometimesmommy
Always in my heart.....
Member since 11/06 6686 total posts
Name:
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Re: I HATE my insurance , HATE throwing up TOO!
That blows big time-I know how you feel -LITERALLY
Has your doc tried Reglan in pump form-sometimes different drugs are covered but just as effective.
I was on bedrest my entire pregnancy due to throwing up "EVERYTHING" and the only thing that worked was the reglan pump..talk to your doc-maybe that would be something the insurance company would pay for?????
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Posted 12/30/06 11:44 AM |
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Re: I HATE my insurance , HATE throwing up TOO!
I know how you feel... my pharmacist screwed me up once and didnt have enough Zofran to fill a full prescription, so I had to come back several times to get all 20 (I was only alloted 20 at a time with my plan) - and because of the dates, when I went to refill again, they also told me I needed to wait - I made them get into the computer and see they staggered the 20 I was owed - but otherwise, I would have been in the same boat as you!!!
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Posted 12/30/06 11:47 AM |
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meganNbobby
Our Family is Complete

Member since 5/05 2774 total posts
Name: Megan
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Re: I HATE my insurance , HATE throwing up TOO!
i'm so sorry.. can u get a higher dosage? maybe that will help you more... i know how you feel.. it;s absolutely draining!! i really feel for ya!!!
i went through it for 3 months and it just started to come back... but i take one in the am (6am) with a piece of food and i'm fine the rest of the day..
good thing to think of though... your most likely having a girl... % say most women with really bad am sickness has a girl...
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Posted 12/30/06 12:06 PM |
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nmp070106
My girls!!

Member since 8/06 5843 total posts
Name: Nicole
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Re: I HATE my insurance , HATE throwing up TOO!
awwwwwwwwwwwwwwwwwwwwwwww for a good weekend!!
The dont' have any kind of sample they can give you?
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Posted 12/30/06 12:09 PM |
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Sweets13
Bella Bambini

Member since 5/05 9300 total posts
Name:
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Re: I HATE my insurance , HATE throwing up TOO!
The pills didnt work for me...I was sick 24/7 and couldnt keep anything down and I didnt have an appetite. I ended getting dehydrated and had to go to the hospital and get an IV...I felt 100 times better as soon as the IV started.....Just to be on the safe side, I had a permanent IV in my arm for about 3 months....and that is when the nausea and vomiting went away...Talk to your dr and ask about the IV...
Feel better...
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Posted 12/30/06 12:12 PM |
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Aga
hello baby Albert
Member since 9/05 7750 total posts
Name: Aga
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Re: I HATE my insurance , HATE throwing up TOO!
I am fuming for you Donna!!! insurances are great until you actually need them and all of a sudden you find out you cant do this, we dont cover that, it is alll a big business they dont really care about you.... ok vent over! I am sorry you are going through this
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Posted 12/30/06 12:19 PM |
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lvdolphins
My Loves!

Member since 5/05 46292 total posts
Name:
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Re: I HATE my insurance , HATE throwing up TOO!
Hope all works out! Sorry your not feeling well!
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Posted 12/30/06 12:36 PM |
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rose825
Best Friends

Member since 6/05 10228 total posts
Name:
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Re: I HATE my insurance , HATE throwing up TOO!
how are you doing? I wish I had some to donate to you
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Posted 12/30/06 1:22 PM |
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halisa
adore

Member since 7/06 2168 total posts
Name: lisa
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Re: I HATE my insurance , HATE throwing up TOO!
Posted by rose825
how are you doing? I wish I had some to donate to you
i was just thinking the same thing! maybe some lovely ladies from lif can send some your way to hold you over the weekend.
whatta ya think ladies???
feel better donna-i'm so sorry you are getting screwed like this.
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Posted 12/30/06 1:31 PM |
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CkGm
They get so big, so fast :(

Member since 5/05 13848 total posts
Name: Christine
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Re: I HATE my insurance , HATE throwing up TOO!
That just makes me so mad, Donna! What morons! Please let me know if I can help in any way- including lending you the money to get the pills- I am so sorry you are going through this!
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Posted 12/30/06 2:52 PM |
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bayla
Love my two kiddos :)

Member since 8/06 7178 total posts
Name:
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Re: I HATE my insurance , HATE throwing up TOO!
i am so sorry...insurance sucks, they pulled something similar with my prenantal vitamins, hang in there and feel better
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Posted 12/30/06 3:11 PM |
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Gumpslilqtpie
Living the DREAM!!!

Member since 7/06 2646 total posts
Name: Kimmer
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Re: I HATE my insurance , HATE throwing up TOO!
Im so sorry sweetie
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Posted 12/30/06 4:17 PM |
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Laura1
Fun in the Snow!
Member since 11/06 4512 total posts
Name: Laura
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Re: I HATE my insurance , HATE throwing up TOO!
That really sucks, i hate insurance companies, you work so that you have the insurance and then they dont want to give you anything. My chiropractor has to write a book to get approval for me to see him every three weeks. Too many rules and regulations to try to follow, i think they make it hard so everyone will give up from the frustration
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Posted 12/30/06 5:48 PM |
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Janice
Sweet Jessie Quinn

Member since 5/05 27567 total posts
Name: Janice
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Re: I HATE my insurance , HATE throwing up TOO!
that is terrible and unfair
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Posted 12/30/06 6:16 PM |
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dm24angel
Happiness

Member since 5/05 34581 total posts
Name: Donna
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Re: I HATE my insurance , HATE throwing up TOO!
Posted by rose825
how are you doing? I wish I had some to donate to you
Not too bad today. Took one this am...And have been very " on the edge" but ate a small bagel and some soup and some pretzels today and am OK So far
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Posted 12/30/06 8:03 PM |
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Diane
Hope is Contagious....catch it

Member since 5/05 30683 total posts
Name: D
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Re: I HATE my insurance , HATE throwing up TOO!
I wish my dad didnt throw out my mom's Zofran. She took it while going through chemo and had some pills left over, but he threw everything out
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Posted 12/30/06 9:47 PM |
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Disneygirl
Disney cruise bound!
Member since 5/05 8126 total posts
Name: D
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Re: I HATE my insurance , HATE throwing up TOO!
Posted by Diane
I wish my dad didnt throw out my mom's Zofran. She took it while going through chemo and had some pills left over, but he threw everything out
I just went searching too because my dad was taking them when he was going through chemo but they're long gone. Sorry.
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Posted 12/30/06 11:24 PM |
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dm24angel
Happiness

Member since 5/05 34581 total posts
Name: Donna
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Re: I HATE my insurance , HATE throwing up TOO!
Diane and Doreen- THANK YOU! That was really sweet of you to even do.
Im looking online right now for anythng over the counter that might be safe just in case, although I actually mad eit through today , though hungry , OK...
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Posted 12/30/06 11:30 PM |
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karacg
Babygirl is 4!

Member since 5/05 17076 total posts
Name: Kara®
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Re: I HATE my insurance , HATE throwing up TOO!
So sorry Donna... I don't have anything that would help.
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Posted 12/30/06 11:53 PM |
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dm24angel
Happiness

Member since 5/05 34581 total posts
Name: Donna
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Re: I HATE my insurance , HATE throwing up TOO!
Posted by karacg
So sorry Donna... I don't have anything that would help.
can I borrow Scout? I would feel better
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Posted 12/30/06 11:55 PM |
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karacg
Babygirl is 4!

Member since 5/05 17076 total posts
Name: Kara®
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Re: I HATE my insurance , HATE throwing up TOO!
LOL he is asleep in his kennel!!! And Dh is asleep in our bed so I think I should head up there too..!
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Posted 12/31/06 12:00 AM |
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dee7772
My Loves

Member since 5/05 4852 total posts
Name:
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Re: I HATE my insurance , HATE throwing up TOO!
Where do you live? I have some Zofran left over if you want them. I live in Suffolk County.
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Posted 12/31/06 9:09 AM |
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