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I tried to get a refill on the zofran and the pharmacy tells me the insurance will only cover 30 pills in a 23 day period. First off, what a weird time period! Secondly, if I was truly taking them every 8 hours like they said I could, 30 pills would only last 10 days! I have been trying to only take 1 a day, but some days if I am going somewhere late in the day I end up taking a 2nd one. Thankfully I am a sound enough sleeper that once I'm out, I'm out! Pharmacy said I have to have to dr office call the insurance company, but doctor's office today said they shouldn't have to since they already did certain paperwork. So now I am waiting.....I have 1 pill left. Thankfully I think the pharmacist said I could get the refills on Wednesday, I think. Or he said I could pay for them without insurance, but it was going to be $65 for the 15 pills!
That's crazy! Insurance should pay for the amount thy the doctor prescribed, so if that's 10 days worth, then you should be eligible for a refil after 10 days. It it wasn't illegal I would send to mine
My midwife won't even give them to me. I felt like a bad person asking then getting denied. I had some left over I had been using and she started questioning where I got them from and why. I was like ***?
I know years back when I was on bcp and I needed to pick up my next pack early because I was going on vacation they said insurance wasn't going to cover the cost because it was too close to the last time I had gotten the previous pack. I think I only needed to wait like an extra day or 2 and I still had the time, so it wasn't a big deal. And that made sense since technically I didn't *need* them yet, just needed them because I was going out of town and didn't want to refill while gone. But with the zofran, the time limit since it totally does not match up with the prescribed amount I could take!
My guess is it's a money thing for the insurance. Zofran is pretty pricey, and they of course don't want to fork over any money even if you're paying for the insurance in the first place.
My insurance only allowed to fill 12 pills at a time (midwife requested a 30 day supply, so 90 pills). I'm guessing this is so I have to pay more in co-pay, so they pay less for the pills in the long run.
Yeah, I understand the money thing. It's just frustrating that the dr is prescribing something and I can't get it fulfilled! I don't mind paying the copay. Well not that I *want* to pay it, I'd rather not be sick, BUT I'd rather pay it than not get the pills, you know? But I wasn't about to pay the full price for them when I have insurance!!!
So annoying! When I called the nurse at my doctors office for another refill she acted like I was a Zofran addict! I received the 4mg dosage and it said to take one to two tablets every 4 hours. I went through 60 tablets in 30 days because I was really struggling with morning sickness and couldn't keep anything down. She was like OH NO you should be taking 8mg every 8 hours and I'm like isn't that like the same thing? Seriously they shouldn't question the need for Zofran unless they have a legit reason to.
I've been taking 8mg every 8 hours plus Phenergan, Benadryl, and B6 every 6 hours. I took all that minus the Benadryl my first pregnancy (I have hyperemesis gravidarum) and my daughter is just fine. The first pregnancy they did the same Zofran restrictions as you're talking about until my doctor wrote a letter of medical necessity. This time I have a different script insurance and they gave me a good amount, thankfully. Otherwise I'd be in the hospital getting an IV.