prescription drug benefits

  1. C

    Why would a generic drug be considered Tier 4 Non-preferred on all part D Medicare plans I've looked at?

    Specifically: Sucralfate oral suspension. The liquid version has been generic since 2019. There is a pill version that is so huge it's impossible for my husband to swallow after his esophagectomy.
  2. A

    Prior Authorization Denied - Can I file an appeal or can this only be done by my son’s healthcare provider?

    tl;dr: Can I personally appeal the denied prior authorization for my son’s speciality medication, or must it be done by his doctor? Long Version: My son has a genetic growth condition and requires growth hormone treatment until the conclusion of puberty. This treatment is essential to his...
  3. T

    Prescriptions that use to just have a $1 co-pay now aren’t covered by my insurance

    I recently moved and switched my pharmacy to the closest one to my new home which is a CVS. I am prescribed medications from an ENT and a Dermatologist that I’ve tried refilling and expected the usual $1 co-pay that I payed previously for those medications but they both cost almost $60 each...
  4. B

    OMG - I just got a $0.11 bill from my old health insurance for a mistake they made 5 years ago

    I think this is extremely funny, although if you were in a bad mood you might not think so because it's just another example of waste - if you total up everything here it probably cost the insurance at least $20 to try and get $0.11. I only got this bill a day or 2 ago from a reputable...
  5. A

    UPDATE: Prior Authorization Denied - Can I file an appeal or can this only be done by my son’s healthcare provider

    Original Post As recommended by someone who commented, I called Cigna on Tuesday to confirm I could submit the appeal. They didn’t answer at first and instead insisted on some sort of verbal re-authorization and tried to call my doctor. I said that was fine but asked my question again in the...
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