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etherealtruth

(22,165 posts)

12. this has nothing to do with the ACA

Reply to iamthebandfanman (Original post)

Wed Nov 27, 2013, 12:54 PM

Nov 2013

insurance companies have formularies of drugs they will cover and at what rate the will cover them.

This is an article from 2009, old but explains drug formularies pretty well

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ACA question.. [View all] iamthebandfanman Nov 2013 OP

So what you are saying is that the insurance company is essentially overriding the Doctor? lostincalifornia Nov 2013 #1

Hard to say, neither of you are doctors, and you say the doctor selected the cheaper prescription. NYC_SKP Nov 2013 #2

because the dr had prescribed a different iamthebandfanman Nov 2013 #5

The doctor DID make the decision, she or he selected a different drug with same purpose. NYC_SKP Nov 2013 #7

It's called a formulary list. Chan790 Nov 2013 #13

If the Doctor recommends a specific drug and the plan won't cover it your friend can appeal PoliticAverse Nov 2013 #3

Some ADHD meds are ridiculously expensive. lumberjack_jeff Nov 2013 #4

I'd research the two drugs and appeal if there is a compelling reason to use the more expensive one. Hoyt Nov 2013 #6

The first one the doctor picked? That doc could be getting swag from that company. Lex Nov 2013 #8

ADD is WAY OVERDIAGOSED. She needs to parent her kid right, limit fat and sugar, and teach her kid RBInMaine Nov 2013 #9

Message auto-removed Name removed Nov 2013 #11

we won't know for a while (years) alc Nov 2013 #10

this has nothing to do with the ACA etherealtruth Nov 2013 #12