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Medi-Cal just refused to pay for the first medication that has helped

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Ladyhawk Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-05 10:04 PM
Original message
Medi-Cal just refused to pay for the first medication that has helped
my pain since the Oxycontin. I guess I was supposed to try two other, cheaper medications first, but my doctor thought I needed this one.

I'm also really wondering about a new pharmacist. Apparently, when my mother went to pick up one of my prescriptions, this pharmacist was rude and said, "I don't do Medi-Cal." From my mother's description, I got the feeling she was looking down on me because I'm on poor people's insurance. I don't know if my mother caught that or not, or if it might have swayed her opinion of the GOP if she did catch it.

My mother complained to the management and raised a big stink. She was right to do so, but now I'm a little worried. Pharmacists are responsible for filing TARs for medications not explicitly covered under Medi-Cal. The pharmacist that pissed off my mother filed this TAR and it was rejected.

So, I suppose I could try another medication that's on the approved list, but I hate like hell to be exposed to that level of pain again. Right now I'm going to get out my Flexeril (the medication I've been denied) and cut every pill in half with a butter knife. I have to make this last.

I am sofa king pissed off. :mad: :grr: :mad:
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REP Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-05 11:27 PM
Response to Original message
1. Cyclobenzeprine Is Dirt Cheap
Recent studies have found than 5mg dosing is as effective as 10mg dosing, so you should be fine cracking your pills in half. If you have to pay for them out of your own pocket, it's available as a generic and is very, very cheap (about $11.00 for 60 pills).

(Guess who also takes cyclobenzeprine!)
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Ladyhawk Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:09 AM
Response to Reply #1
2. Half a bottle cost $50 and it is the generic form. :( n/t
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REP Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:19 AM
Response to Reply #2
3. Check Other Pharmacies
I live in the SF Bay Area, where things are higher than a cat's back, and it's not that much here. Try a Kaiser pharmacy; even though you're not a member you can get you scripts filled there - their prices are good.

Drugstore.com has generic 180 pills 10mg 29.27
http://www.drugstore.com/pharmacy/prices/drugprice.asp?ndc=50580087411&trx=1Z5006
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Ladyhawk Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:29 AM
Response to Reply #3
7. We don't have a Kaiser pharmacy. :) Whoops.
I could try Wal*Mart, I suppose.

I suppose with a doc's Rx I could use the URL you posted.
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REP Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:33 AM
Response to Reply #7
12. Took Me 2 Minutes with a 56K Modem to Get That Info
Light a candle, baby; light a candle.

Or curse the darkness and do without a script you want - no skin off my nose either way. You're very welcome for the help.
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Ladyhawk Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 04:08 PM
Response to Reply #12
17. Thanks for the info. I guess I didn't think of googling.
My bad. :)
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flamingyouth Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 04:54 PM
Response to Reply #3
18. Yeah, I take it too and pay about $8 for 30 pills
I have chronic neck and back pain and it helps me a lot, especially during the night.

However, when I was in an accident down in Texas, the ER wrote out the prescription for the brand-name version and it was almost $50 for 20 pills! :o
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WCGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:21 AM
Response to Original message
4. I used Flexeril for a while......
Was great and didn't make me high... or goofy
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REP Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:26 AM
Response to Reply #4
5. It's More of an Antidepressant, Not a True Muscle Relaxant
"Pharmacological studies in animals showed a similarity between the effects of cyclobenzaprine and the structurally related tricyclic antidepressants, including reserpine antagonism, norepinephrine potentiation, potent peripheral and central anticholinergic effects, and sedation."
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WCGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:28 AM
Response to Reply #5
6. Well since I was so jaked up on morphine
Edited on Fri Sep-23-05 12:28 AM by WCGreen
And Adavan, that shit didn't phase me...

But it did help take edge off the pain
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REP Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:30 AM
Response to Reply #6
9. Yeah, Morphine is Overhyped
But sometimes it's better than nothing!
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Ladyhawk Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:32 AM
Response to Reply #9
10. Hmmm, morphine worked very well for me post-op.
The afternoon following surgery, I thought everything was A-OK, then the morphine wore off and yowza. :)
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WCGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:32 AM
Response to Reply #9
11. Let me tell you....
In the dosage I was getting in the hospital and the combination made me go to places I never been before....

I truly believe that my experience with LSD in the 70's allowed me to discern between reality and delusion....

If not, I may have never come back....

It was like a twenty five day long bad acid trip.....
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REP Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:36 AM
Response to Reply #11
14. Y'all Are Getting Better Morphine Than I Am
I was getting injections every ten minutes - never lost touch with reality or lost consciousness and I was never pain-free; I just stopped screaming. And it was morphine; I cannot take NSAIDs due to kidney failure.
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WCGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:39 AM
Response to Reply #14
15. With me it was a combo of the adavan and a dose
of intensive care psycosis.....

I was tied down, had tubes running into me everywhere.....

Anything that was on tv becamse part of my reality....

I thought for a while that I was in Vietnam with Spider-man....

That I was writing a play at a workshop in Colorado with Paul Newman and Joanne Woodward....

Mrs. WCGreen saved the writing I was trying to do.....

And that's just a little bit of the fun I had....
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REP Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:52 AM
Response to Reply #15
16. I Had One Of These in My Kidney:


They hurt.
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Ladyhawk Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:30 AM
Response to Reply #5
8. I have serious depression, too.
I've been feeling a bit better lately. :shrug:
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WCGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-05 12:34 AM
Response to Reply #8
13. Good..... Depression is nothing to take lightly.....
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