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DMPS insurance coverage

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Hi,

I am trying to fill out my insurance company's paperwork for

reimbursement for Falls Pharmacy compounded DMPS. Falls refused to

submit it or the nystatin they compounded for my daughter (despite

saying they'd do the latter) because " insurance companies never pay

for DMPS and almost never for anything compounded " . I have Medco

coverage and the form has explicit instructions for what to do with

compounded presriptions, which implies there must be coverage for them

in at least some cases.

Falls is being less than helpful in supplying all the info I need to

submit the claim. (The insurance company wants all ingredients listed

on the receipt. Falls has given me just a handwritten note with no

signature listing active ingredients only. I'd like to know what the

fillers are for my own sake, but I haven't gotten that yet.) The

total bill is $455, so I'd at least like to try.

Is this just a waste of my time and theirs? says some

people have been able to get coverage, but not many.

Thanks,

W.

P.S. I suspect the DMPS filler is FOS. Does anyone know if that is a

bad idea with a Citrobacter infection?

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> TK--- call and ask what filler they are using, when it is not

> specified they commonly use one specific filler but you can ask that

> they use one of a number of fillers, I have mine filled with vit c

> from them. I have not had any problems with them.

Hi TK,

Is there any person at Falls you think is the best to deal with? Is

Brock Nyquist the boss?

Thanks,

W.

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