NWR- Health Insurance

JennysMOH Posted: Sep 19, 2007 02:34 PM

NWR- Health Insurance

I just have to rant a little.

So I went to the driving range and apparently I sprained my back...hitting a little ball with a big stick is harder than it seems. So I went to the orthopedist who prescribes Celebrax as an anti-inflammatory, went to the pharmacist and he tells me he can't dispense it because I needed prior insurance approval. Was I to know that the doctor was going to prescribe that prior to being examined???? So now I have to wait 2 to 5 days while they contact the insurance company to get the medicine I need and lucky me get to be in pain for those days.

Sorry just had to get that off my chest.

Kara and Todd Posted: Sep 19, 2007 02:54 PM

Re: NWR- Health Insurance

You need to call your doctor immediately. I believe he has prescribed a medication for you that is not on your insurance company's formulary. Tell him that your pharmacist told you that it requires insurance approval, which will take days. Ask him to check your insurance company's formulary and prescribe an approved drug for you to take in the meantime.

Good luck!

DeannaNDave07 Posted: Sep 19, 2007 02:56 PM

Re: NWR- Health Insurance

i used to work for a orthopedist, and yes most of them have to have the insurance approval.. but what he did was prescribed a generic brand that is just as good. at least till you get the regular ones.. or sometimes they have samples... you should call and find out

JennysMOH Posted: Sep 19, 2007 03:05 PM

Re: NWR- Health Insurance

He gave me samples for the muscle relaxer.

Well I did some research regarding this drug and apparently it can cause heart problems and strokes so maybe it is a good idea that I haven't received it yet. Plus it is not good for people that have had ulcers and stomach problems which I have had so now I am lucky enough that I have to call the doctor and see what else is available. If not I'll just keep going to the chiropractor for treatments.

Thank you girls for letting me vent.