Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 Has anyone else discovered that their Rx plan changed for 2007? I have Caremark, and was told today while refilling several that my insurance denied my Urso. My Hep office called to tell me they told her they would only cover 2 Urso Forte pills per day (1000mg). I was previously taking 6 250mg per day, and when my dosage was changed to 2500, my Hep wrote the Rx for the Forte so I would only have to take 5 pills instead of 10. It seems that my old dose would not even be completely covered. My Hep is writing a letter to try and justify it, and appeal the denial, but his office didn't sound confident. She said if unsuccessful, my Doc would work on something else. Anyone else finding 2007 coverage changes? It's ironic my insurance premiums went up, but the coverage went down. Stuart (Va) PSC 2001 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 Co-pays went up $3, to $18 ($45/3 months if through mail order). We have 4-5 plans we can choose from. I know my expenses are going to exceed $XX, so I choose the plan that fits best (and has the highest lifetime maximum!). I had some problems with CareMark, and so did my company. They have changed to Aetna for Rx. Your Drs. may be successful in an appeal, though. Arne 55 - UC 1977, PSC 2000 Alive and (mostly) well in Minnesota ________________________________ From: [mailto: ] On Behalf Of Stuart (Va) Has anyone else discovered that their Rx plan changed for 2007? I have Caremark, and was told today while refilling several that my insurance denied my Urso... Stuart (Va) PSC 2001 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 Turns out there is a newly approved generic brand of Urso (which I am now on), so my insurance company would only cover that one. Hey a, (Is that not a song?) Thanks for the information. What is the name of the generic? I had not heard of that before you mentioned it. We're usually late getting new drugs approved down here. Stuart (Va) PSC 2001 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 5, 2007 Report Share Posted January 5, 2007 Ursodiol (the " sort of " generic, not really new) is definitely cheaper for my plan. If I go to a named brand (like Urso-250 - yes, it's slightly different), I pay more. Arne =========================================================== Turns out there is a newly approved generic brand of Urso (which I am now on), so my insurance company would only cover that one. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 6, 2007 Report Share Posted January 6, 2007 Hi Stuart, My old RX read Urso DS (500 MG) Ursodiol (500 MG). The new one: PMS - URSODIOL C 500 MG URSODIOL CF URSO 50 MG. It isn't a huge change. The first rx was about $225 per month for 2000 MG per day. The new one is about $207 per month for 2000 MG per day. I switched last month and have not had any problems with the 'new' one. Hope this helps, a Red Deer, Alberta PSC 2003 Re: Rx plans Turns out there is a newly approved generic brand of Urso (which I am now on), so my insurance company would only cover that one. Hey a, (Is that not a song?) Thanks for the information. What is the name of the generic? I had not heard of that before you mentioned it. We're usually late getting new drugs approved down here.Stuart (Va)PSC 2001 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 29, 2007 Report Share Posted January 29, 2007 I am in Canada, so or course our plans are a little bit different. I take 1000 mg of Urso each day. I went last week to refill my prescription and instead of the $25 they usually charge, it was going to be $260!!! Not acceptable. Turns out there is a newly approved generic brand of Urso (which I am now on), so my insurance company would only cover that one. The pharmacy had to order the new stuff, but had it in a day. Could this be the problem? a (Sylvan Lake, Alberta) PSC 2003 Rx plans Has anyone else discovered that their Rx plan changed for 2007? I have Caremark, and was told today while refilling several that my insurance denied my Urso. My Hep office called to tell me they told her they would only cover 2 Urso Forte pills per day (1000mg). I was previously taking 6 250mg per day, and when my dosage was changed to 2500, my Hep wrote the Rx for the Forte so I would only have to take 5 pills instead of 10. It seems that my old dose would not even be completely covered. My Hep is writing a letter to try and justify it, and appeal the denial, but his office didn't sound confident. She said if unsuccessful, my Doc would work on something else. Anyone else finding 2007 coverage changes? It's ironic my insurance premiums went up, but the coverage went down.Stuart (Va)PSC 2001 Quote Link to comment Share on other sites More sharing options...
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