ACA question..

[NYC_SKP]

7. The doctor DID make the decision, she or he selected a different drug with same purpose.

This has always been how it's done.

I'm 56 years old and there have been plenty of times that my pharmacist points out that a prescription won't be covered, or will have a higher co-pay, and then makes a suggestion for either a different drug (Azithromycin instead of Erthromycin, for example) and calls the doctor and the doctor approves the alternative.

It's not a new thing, it's not a big deal.

Different plans cover different meds differently it has ALWAYS been this way.

Sure, in the perfect world EVERYTHING would be covered, no matter the cost, but that's not the real world.

In the end what matters is the child with the diagnosis of ADD.

What are these two different drugs, by name???

If we knew, we could make an informed decision or have an informed opinion, but we don't so it's all speculative.

I hope the diagnosis is correct and that the treatment is successful.