Re: Medicare and Provigil

[Guest guest]

My best advise is to appeal, appeal, appeal.

When you're attempting to get approval for Provigil or Nuvigil, you

usually have to have already tried a cheaper on formulary generic

(usually generic Adderall or generic Ritalin).

Make sure the Prior Authorization form is filled out THOROUGHLY.

Have you ever tried generic Adderall or Ritalin?

Steve M in PA

> I'll try that .

> The thing is my doctor did try a special authorization for it and they( the

insur co) refused it.

> He'd have to say I have narcolepsy or shift-work disorder.

> I can ask again but he didn't seem to want to bend the rules a bit.

> This doctor is a  very nice man about my own age, easy going and not a jerk.

>

> But unfortunately, I don't think he believes in Fibromyalgia.

> He keeps thinking I should exercise more, which *would* help, but it will

*not* cure me. He wants me to go to water aerobics or at least to swim, and I

would but have no car and never needed(before now) to drive. I lived in NYC all

my life and didn't need to.

> Now I'm in a medium/small city in the south and everything is quite different

here.

>

>  Anyway, he didn't say absolutely no to Ritalin but hasn't given it to me yet

either.  (?)

>

> Thanks for sharing information .

> Re: I miss reading books. Re: Medicare and Provigil

>

> You probably didn't appeal enoguh times. if you keep at it,

> eventually, you can get them to pay for just about anything (except

> benzodiazepines and barbiturates, since they are excluded from

> medicare Part D). If you and your doctor provide enough documentation

> and you've tried (or it would be unsafe for you to try) the formulary

> alternatives, they should cover it, eventually.

>

> Steve M in PA