Prior Authorization Nightmare

[TracyBelle]

I have had the exact same insurance for the past 4 years. I was prescribed Nuedexta in 2016. I have been without my 2 x a day PBA meditation since January 3. Why do I have to wait for the insurance company to contact my Dr. to obtain information that they already know? How can they still not approve it after I answered a patient questionnaire that they sent to my Dr?

[RoseySawyer]

When I had Blue Cross they use to do that with one of the meds I use to be on. I would always just call my doctors office so they could contact the insurance first because the insurance would take forever. I hope it all gets straighten out quickly. ❤🌷

[greaterexp]

I’m sorry about the run around. It is frustrating. I’m going through the same thing with getting my Copaxone again since a change of insurance.

I hope it gets resolved for you quickly.

[ssdw1958]

Insurance companies can be a pain call your doctor may be they can help move them along faster. Good luck

[rjoneslaw]

insurance companies just like to play these games. There should be legislation but you they will fight that

[carolek572 CommunityAmbassador]

TracyBelle insurance companies/big pharma/government are all in this mix to help with the 'top-notch' healthcare of everyone in this country. Yet, we all are stuck with higher costs, poorer access, and slower responses. I hope that your issue gets resolved quickly, and in the meantime, be 'patient'.

[TracyBelle]

Today the Insurance co said that the PA was declined again. They said ask your Dr to initiate a peer review. The Dr office said that they no longer do peer reviews. I am so close to giving up- why do I even bother?