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Subject:
From:
Sandi Yuhas <[log in to unmask]>
Date:
Mon, 31 Jan 2000 15:39:21 EST
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<<Disclaimer: Verify this information before applying it to your situation.>>

Hi all,

I know I've seen bits and pieces of this in previous posts, but I'd like an
up-to-date response, and will summarize.

My question:

We (celiacs) have to be VERY careful with the prescriptions we take - as I'm
sure we all have experiences the 'downside' -
Our Insurance company has what they call a 'formulary' -
Generics cost $10.00 co-pay
Formulary cost $25.00 co-pay
NON FORMULARY COST $45.00 CO-PAY !!!!
These costs are all for a 31 DAY SUPPLY.

If I could get the necessary info concerning Gluten content in generics, I
would have absolutely no problem using them - but I CAN'T !

We're (myself and my two children) getting hammered by these costs that are
unavoidable due to our illness.

Does anyone know of a solution ?

Our pharmacist said she thought we might be able to have our Doctor write a
letter of explanation to the Insurance company stating our specific needs -
BUT, Many Doctors are now 'Graded' by the insurance companies on how the
adhere to the formulary list.

Can others please share their experiences/solutions ???


Thanks,


Sandi

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