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Real members of MyFibroTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyFibroTeam Member asked a question 💭
Boston, MA

My insurance don't cover the medicin my dr wants me to try. Does anyone have any suggestions on what to do? Can I make them pay for it some how

November 3, 2015
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Answer Summary

Members rallied around someone whose insurance denied coverage for a prescribed medication, sharing a wealth of practical strategies to access... Read more

Members rallied around someone whose insurance denied coverage for a prescribed medication, sharing a wealth of practical strategies to access needed treatment despite financial barriers. Several members recommended using discount programs like GoodRx, contacting pharmaceutical companies directly for patient assistance or indigent programs, asking doctors for samples or alternative medications, and submitting a prior authorization appeal that documents previously tried treatments and medical necessity. A recurring theme was frustration with insurance companies overriding doctor decisions, coupled with determination to help each other navigate the system through persistence, resourcefulness, and community knowledge of programs like LilyCares, themedicineprogram.com, and income-based local pharmacies.

A MyFibroTeam Member

You can also appeal to your Dr. office or local hospital for samples. Here in Cheyenne we have a pharmacy that is based on your income, they help hundreds in our community. Blessings.

November 4, 2015
A MyFibroTeam Member

Try reaching out to the company that makes it they will sometimes help I have done it with at least 2of my meds

November 5, 2015
A MyFibroTeam Member

My insurance company gives special permission for the Savella my doctor prescribed with me paying a higher copay.

November 4, 2015
A MyFibroTeam Member

You can fight the insurance company. It can be a long frustrated experience but that's what they want so you will give up. Their number should be on the back of your insurance card.

Or check with Walmart or independent pharmacies alot of them offer discount RX discounts with their rx coverage. Even though you have to pay for their coverage it is usually cheap and coverage is for a year.

If your doctor doesn't have coupons for your meds. Check on line. If you can't find it on the site get number off of site and call them.

Hope this is helpful and good luck. Praying for you to find help

November 4, 2015
A MyFibroTeam Member

That's is exactly how i was allowed Savella from my insurance. The only decision i have to make is the $100/month copay worth getting rid of the pain. Also Pharmaceutical company's will give pharmacies coupons. My pharmacy gave me $50 coupon to use on copay. It's a titrate medicine the first month. i will be able toget rid of three pills for this one...IF IT WORKS.

November 3, 2015

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