Dealt another blow


Lizze kicked off the week of appointments with a follow up at pain management. She has been off her fibro medications for about a week because insurance needed a priority authorization for the refill.  Apparently,  there was a policy change and Lyrica (spelling?)  is no longer covered. 

It took a week to work out the prior authorization and so she ran out about a week ago.

When she saw her doctor this morning,  they informed her that because she has been off the Lyrica for a week,  she has to start all over again.  This is a huge blown to her because it took her well over a year to build up to where she was,  just 7 days ago. 

She is in horrible amounts of pain, now she won’t see any relief for many,  many months.  The worst part is that now it may not work again. Lyrica was the last medication she had to help manage the fibro flare ups. 

To say she is demoralized right now would be a gross understatement. It looks like things are going to get a whole lots worse for her and subsequently everyone else in the house. 

I don’t know who to more passed off at,  the insurance company or pain management. The pharmacy spoke with pain management last week about the need for the prior authorization and they never sent it in.  Now my wife has to suffer for God only knows how long because someone else dropped the ball. 

From a purly selfish standpoint,  we were barely surviving with her fibro relatively managed by the medications. Now I don’t know what we are going to do…..

This is the most fanfreaking-tastic way to start the week.  I only have 17 more appointments to look forward to.  I totally honest they go better than this. 

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Lexidh

Oh god, Lyrica really sucks. I've never felt worse than when I tried it for my fibro (+ some other "minor" issues like a fractured spine and such). I'm on tramagetic retard (12 hour pills), and it is really working. It sucks on the count of being morphine, but it is worth it!

Lost_and_Tired

Thanks. The Lyrica is the only medication that has helped her manage the flare ups and day to day pain.

It\’s interesting how different people react differently to these medications. Thanks for sharing.

Feel free to check out her blog at http://www.dailymommysurvival.com

I`m sorry, that really blows! Has she tried any natural supplements to help with the inflamation and gi problems that go with the fibro? Extra magnesium can help calm nerves as well….idk just want to help. I take quite a few supplements to help with my pain.

Jillian

Is there a way we could get that medication for you off insurance? I don't know how much it is. Do you have to have a prescription for it or could we locate it elsewhere? I am so sorry this is happening; I HATE insurance. We have had our fair share of insurance battles here. Let us know what we can do, HONESTLY.
My recent post One Cup To Rule Them All

Elise

have you contacted your state's attorney general's office for advice?Here in NY they actually have ppl that deal with insurance companies when they are violating their contacts. There are also consumer protection offices in many attorney genera;'s offices that may be able to help and intervene. I actually tend to go to the HR department at my husband's office when the insurance company gives me the run around. Are you able to enlist them for help?

Israa

hi Rob, have you tried GAPS diet. I think that your wife and the kids are the best candidate . Google it and try it . get it a shot.

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