I'm PISSED!!..need a little help from the smart folks here...

[Aristus]

28. I don't know how smart I am, but this is kind of my field, so I'll try to help.

Believe me, I sympathize. Seem like half my job is arm-wrestling the insurance companies best two-out-of-three just to get my patients the medication or diagnostic testing they need. (Probably around 1/3 of my homeless patients have insurance; either state insurance, or private insurance held over from when they were employed, or that they earn enough to pay the premiums for.)

Are you allergic to pregabalin, the generic for Lyrica? Or another drug they said they'd cover? And unfortunately, pregabalin is not available on the low-cost formulations offered by companies like Wal-mart, Fred Meyer, or Target.

It's clear these people don;t know anything about medicine; although that doesn't stop them from essentially making medical decisions. Abrupt withdrawal from Lyrica can cause seizures. And if they won't refill your prescription in a timely manner, they are ethically responsible for any adverse effect you may suffer.

Your husband's medication, the generic of which is sitagliptin, is a very effective med for Diabetes. But it's also expensive, and also not on any of the $4 lists.

If you have any other questions, I'll try to answer them. But it seems like your best move at this point is to re-enroll with Blue Cross when the period expires.