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photographer0402

629d

I’m giving up. Life sucks. Insurance won’t cover the only medication that’s helping me. I’m done with this depressed life.

Top reply
    • Weiss

      628d

      Try to contact your insurance and appeal or ask them for a denial letter that tells you why you're not allowed to have it. If that fails, talk to your doctor and see if you can get help from a specialty pharmacy that deals with expensive medications. Insurance suddenly stopped letting me have my migrane medication and that's what I had to fight to do. Sometimes insurance will look at the medication and compare it to your conditions. If you can find your insurance's list of covered medications, that's the first step. If it's there, keep going. The medication you're on isn't a typical depression medication in black and white, it's an ADHD and eating disorder medication. If you're, which idk if you are or aren't, diagnosed with either of those, they can cut you off for not having a "qualifying condition." That's when you have to appeal and ask your doctor to help you. They have to have it slammed in their face the facts and the why you're on it. If the medication isn't covered at all, call the insurance company and ask to be sure. If it isn't, try to contact the specialty pharmacy. Considering this medication is a stimulant that actually helps with dopamine, unlike antidepressants, there are a lot of medications in its class. I don't know if you've been on a load of antidepressants that don't work, but you're in you're early number of trials with drugs like this that aren't antidepressants. But if so, try a few alternatives to that class of medication. Hopefully there's generic forms. Don't give up. The system is fucked and unfair and they force us to jump through these hoops. Fight the system, please. When everyone gives up, they win and so continue to know that they can walk all over all of us with mental illness. I'm sick of the bullshit too, but please don't give up. Ask them why you can't have it before you give up.

    • lunargoddess87

      628d

      stupid question, but have you talked to your doctor and asked them to submit an appeal. The fact that this is your 23rd med, and I assume it's documented, they can appeal that showing that you have tried other things. Additionally, my husband's favorite little trick is to call insurance and say "I would like the names and credentials of the people on the determination board that made that decision and their reasoning for it." Most of the time, they don't want to go to the trouble, especially since it is legal stuff. You might have to submit it in writing but a phone call will at least help.

    • Weiss

      628d

      Try to contact your insurance and appeal or ask them for a denial letter that tells you why you're not allowed to have it. If that fails, talk to your doctor and see if you can get help from a specialty pharmacy that deals with expensive medications. Insurance suddenly stopped letting me have my migrane medication and that's what I had to fight to do. Sometimes insurance will look at the medication and compare it to your conditions. If you can find your insurance's list of covered medications, that's the first step. If it's there, keep going. The medication you're on isn't a typical depression medication in black and white, it's an ADHD and eating disorder medication. If you're, which idk if you are or aren't, diagnosed with either of those, they can cut you off for not having a "qualifying condition." That's when you have to appeal and ask your doctor to help you. They have to have it slammed in their face the facts and the why you're on it. If the medication isn't covered at all, call the insurance company and ask to be sure. If it isn't, try to contact the specialty pharmacy. Considering this medication is a stimulant that actually helps with dopamine, unlike antidepressants, there are a lot of medications in its class. I don't know if you've been on a load of antidepressants that don't work, but you're in you're early number of trials with drugs like this that aren't antidepressants. But if so, try a few alternatives to that class of medication. Hopefully there's generic forms. Don't give up. The system is fucked and unfair and they force us to jump through these hoops. Fight the system, please. When everyone gives up, they win and so continue to know that they can walk all over all of us with mental illness. I'm sick of the bullshit too, but please don't give up. Ask them why you can't have it before you give up.

      • Richardy

        628d

        @Weiss 👍 👍

    • AllostaticOverload

      628d

      depending on where you are and what you need, there are some discount pharmacies that get the meds from the manufacturer and sell them at a massive discount (maybe even free) for exactly this purpose. They're called "patient assistance programs". Good luck.

    • junitree

      629d

      i'm so sorry. would you like to talk more abt the root cause of your depression?

    • moonstar79

      629d

      I understand where your coming from I felt the same way when my mom died when I was only 16 years old at the time and I just about gave up but now when I really think about if I would have given up I would not have had my daughter and what kind of medication are you on maybe i can help

      • photographer0402

        629d

        @moonstar79 I it’s my vyvanse I’m having an issue with. It’s the only medication my depression has responded to and suddenly the insurance isn’t covering it.

        • moonstar79

          629d

          @photographer0402 have you tried taking Zoloft that's what I am on for my depression and my PTSD and it really works

    • lunargoddess87

      629d

      Please call 988 if you have to, but don't give up. It took me 6 or 7 med tries to find something, and one of them that worked for me was in that same vein...tried everything but still couldn't afford the several hundred dollars. Calling 988 can help.

      • photographer0402

        629d

        @lunargoddess87 I’m at med try #23. This is ridiculous. Nothing works

    • depressedunicorn

      629d

      Don't give up!

    • lunargoddess87

      629d

      Have you looked on the medication site? Sometimes they have their own discount cards. Also take a look at good rx, rx saver, or one of those apps. I've run into this issue and been done and ready to quit and was able to find a solution through other avenues. PM me if you would like help navigating getting the script.

      • photographer0402

        629d

        @lunargoddess87 I did all that. It was still $500+. Thanks though.

☝ This content is generated by our users and it is not a substitute for professional medical advice. Please consult with your physician before making any medical decision

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