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Esteemed Contributor
Posts: 7,366
Registered: ‎02-22-2015

Re: 90+ drugs to be dropped from insurance in 2019


@pigletsmom wrote:

I've never understood why people thinks it's weird that insurance was covering Viagra. It is a drug that fixes a medical problem.


@pigletsmom  I'm sure that little pill has kept many marriages very happy. Beats a therapist in such an issue.  

Money screams; wealth whispers.
Respected Contributor
Posts: 3,403
Registered: ‎03-14-2010

Re: 90+ drugs to be dropped from insurance in 2019


@GenXmuse wrote:
  • They are dropping my birth control pill. 

@GenXmuse

I guess if they're dropping Viagra, you won't need your birth control pill! 001_rolleyes.gif

Honored Contributor
Posts: 12,960
Registered: ‎03-09-2010

Re: 90+ drugs to be dropped from insurance in 2019


@novamc1 wrote:

@Laura14

 

The article says (I think) that  the drugs being dropped  from coverage do not apply to Medicare patients, who are likely users of Alzheimer drugs.

 

.  The story also indicates that many of the listed  drugs are available in generic form, so maybe insurance will cover the generic. 

 

Not sure, so don't take my word for it.  I don't take any drugs, so all I know about them is info that  a friendly retired pharmacist neighbor sends to our area.


Is GoodRX the commercial I see on TV offering discounted prescription drugs?  No insurance needed.

 

I wonder if your friendly retired pharmacist is somehow connected to GoodRX.

 

The guy who 'invented' GoodRX is kind of middle aged.  He does the commercial.

Honored Contributor
Posts: 12,064
Registered: ‎03-19-2010

Re: 90+ drugs to be dropped from insurance in 2019

My insurance only covers Tier I drugs anyways which basically means if it's not generic, it's not covered.  Luckily, I have done well on generics.

 

I have a friend though who has tried everything and now insurance won't cover the one drug that actually works for her.  

 

As far as pain meds go, someone mentioned Tramadol, that stuff is really bad news for me.  I had a multitude of reactions to it.  If only they would bring back Darvocets.  Everything else I have taken just made me sleepy but really did nothing for the actual pain.  Just because you are asleep does not mean you don't feel the pain.  I wake up all the time with nasty headaches that I felt even though I was asleep.  

 

Personally, I have always felt like doctors sent people home with way too much pain meds whenever they had procedures done.  I know I ended up with way too much.  I usually only took one or two of them and ended up with a bunch of left-overs that I would save just in case I needed something.  I actually did use an expired one last year per my doctor as I was in excruciating pain that we thought was a kidney stone.  

Respected Contributor
Posts: 4,936
Registered: ‎07-02-2015

Re: 90+ drugs to be dropped from insurance in 2019

[ Edited ]

@Lucky Charm

 

In reply to your question....

 

<<I wonder if your friendly retired pharmacist is somehow connected to GoodRX.

 

The guy who 'invented' GoodRX is kind of middle aged.  He does the commercial.>>

 

 If that's a serious question, DO YOUR OWN RESEARCH ABOUT DRUGS & INSURANCE COVERAGE.

 

That's the best advice for anyone who wishes to question a source of information.

 

If you have questions about the informational  website mentioned (which says it doesn't sell anything), check it out here:

 

https://www.goodrx.com/about

 

Personally, I  have no questions about this source's  motives or qualifications.  And on another note,  what you might consider a " kind of middle-aged" person on TV  is probably not retired from his profession yet.

 

LOL!!

Honored Contributor
Posts: 16,187
Registered: ‎06-09-2014

Re: 90+ drugs to be dropped from insurance in 2019

@Mom2Dogs  While I did my externship, the biggest order we got for any type of ED drug was maybe 10 pills and that was rare.  And we actually filled more Cialis than Viagra.  Viagra was actually not a big seller brand or generic at least not for us. 

 

As for the couple of pills, even with the prescription help, it's a lot of preplanning to get busy which is why they probably don't fill it that often or only on special occasion.  I did work over the holidays so it may be that they were planning on New Year's and then taking some time off.

 

@sassenach1  I don't believe that!  You must have been terrified.  I don't blame you one bit for walking away.  Heart

 

 

Esteemed Contributor
Posts: 5,453
Registered: ‎02-02-2015

Re: 90+ drugs to be dropped from insurance in 2019


@sassenach1 wrote:

@pigletsmom wrote:

I've never understood why people thinks it's weird that insurance was covering Viagra. It is a drug that fixes a medical problem.


Then, insurance should pay for Retin A after age 20 ish.  It stops aging on your skin.


Retin A is more in line with cosmetic treatments.  

Honored Contributor
Posts: 16,187
Registered: ‎06-09-2014

Re: 90+ drugs to be dropped from insurance in 2019

@Icegoddess  My neighbor couldn't handle Tramadol either.  She had to come off of it.  And that's only a Schedule IV!  It's on the same level as Ambien (although different type of drug) and you know what's been happening to people on that.

 

And since you mentioned expired drugs, for anyone reading, for tablets, expired is fine to take.  They just may not be as potent since their efficacy dwindles as time goes on. 

 

I did the same thing years ago when I threw out my back.  I had never used the Oxy pain pills the dentist gave me when I had my wisdom teeth out.   Thank goodness!  Ibuprofen was fine for me. 

 

Liquid drugs are a different story and should be tossed since bacteria and other infectives can really take a foothold and corrupt them.   

Trusted Contributor
Posts: 1,522
Registered: ‎08-20-2014

Re: 90+ drugs to be dropped from insurance in 2019

Tirosint is on that list. It's the thyroid medication that works best for me and there is no generic version. It is also expensive. Not happy about it to say the least. Smiley Sad

Esteemed Contributor
Posts: 5,354
Registered: ‎11-24-2011

Re: 90+ drugs to be dropped from insurance in 2019


@software wrote:

@shaggygirl wrote:

Speaking of medicines and what is and what is not covered, last week I almost croaked when picking up a prescribed teeny tiny eensy weensy squeeze bottle of a med called Ciprodex and the pharmacy guy asked "did they tell you the co-pay on this?" Uhm NO. Well $218.00 dollars later.........cause I needed it so had to cough it up. It seems to have done the trick though so there's that. I have a Medicare Advantage Plan.


 

 

 

If you need it from time to time, you may need to review your plan for 2019

I'm on a MA plan and some of my co-pays went down.

I've already checked with my provider to get confirmation for next year.

I only have 1 generic prescription I take regularly.  Tier 2


No, thankfully it's a one and done. At least I hope so. Ear drops.