Medicare

Medicare has not paid for Librax or it's generic since 2007. I wasn't old enough for Medicare but have to have it because I'm disabled. My doctor was shocked, as she said it had been around for years and was probably one of the $4.00 medications. I've been taking this since 1995 because I have severe IBS. I just looked it up and found that Librax is no longer on the market but the generics are still there. They are just as expensive. The only thing I found that they considered "dangerous" was that it might be habit forming; increased the risks of serious or life-threatening breathing problems, sedation or coma. If I've been taking it that long and haven't had a problem, that ridiculous. Luckily, I found the prescription to help with this. I can't find...

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My pain man dr i'd been seeing for 10 years was retiring & my pcp told me no problem he'd take care of me. I've had 17 sur. on both knees all the way 2 total replacement of both. Over 200 spinal taps to keep fluid off my brain until i ended up having 7 diff back sur 2 remove 1/2 of each vert 2 place a shunt 2 it so it would drain the fluid off n2 my stomache. This all was within a 10 year time then i started havin headaches again & my pcp had all these test done but just gave me antibotics 3 yrs n a roll well my pcp don't want 2 answer any questions he wants u 2 come n charge ur ins & never look up @ u just ask u"u think u need all this?" Meanwhile he lets my moms leg sat up gain green n it & n 1&1/2 yrs she has 2 have both legs cut off. I ask hi

I'm considering taking Horizant but am concerned once I get on Medicare in 9 months I'll have to pay the full price as I won't be able to use their discounts. For those of you on Medicare how much are you paying for Horizant? Thanks!

I've had prostate cancer about 8 yrs. ago. Before I started on a testosterone supplement my levels were very low. Felt like I ran a marathon every day. No energy. Through trial and error my doctor and I have settled on 5 pumps of axiron a day. All my levels are good. I'll be turning 65 in about 4 months, and I'm trying to find the cheapest way to go on a prescription supplement plan that allows me to continue taking this medication. Any help would be greatly appreciated.

My mother was told that her doctor could no longer prescribe the dextroamphetamine that she has been taking, at minimum dose, for oer 50 years. She takes it for ADHD and narcolepsy. Her doctor tells her that it is no longer legal to "provide" it for her because congress has made it illegal to "provide" to any medicaid patient for any reason. Can someone help me follow this up? If the story she is telling me is true, I need to write my congressman to protest. Since when does the Federal government have the right to interfere in our private health care needs - she is not asking them to pay for the medication, she has simply LOST THE RIGHT TO HAVE IT PRESCRIBED TO HER. Is there anyone else out there that thinks this is WRONG?! ## This is not true. I take 2, 10mg dextroamphe...

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Will Medicare pay for my Reclast Infusion? ## Hi Frey, I believe it does, but only if you meet certain criteria. The information I found on this appears to be a few years old, so I don't know if anything has changed regarding their policies... but from what I could gather, Medicare will only consider the use of Zoledronic Acid (Reclast) to be medically necessary if it's being provided to you for either Paget's disease or for the treatment of osteoporosis "in postmenopausal women". However a Word document by the University of North Carolina School of Medicine notes that Medicare only requires documentation of medical necessity for infusions (with guidelines listed in the link below). So this is something I would encourage you to look into further if you don't meet...

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Medicare just quit covering my Dexilant prescription and I am having acid reflux horrible again. My dr is trying to get them to approve it because nothing else I've tried ever helped noticably. What other GERD med is most similar to Dexilant? It has to be a generic form, or medicare won't cover it. ## Hello, Cherie! How are you? The reason they don't want to cover it is because it's not available as a generic, but there are several others that are, plus some are available over the counter. Two would be Lansoprazole and Omeprazole, so you may want to ask your doctor about trying them. Is there anything else I can help with? ## I have been denied dexilant too, and cannot get help with payment.Medicare doesn't pay for it, and neither would Florida Blue before I got Medi...

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One pharmacy states an all out rejection of coverage for OxyContin, referring Opana instead. Another pharmacy requires a PA. How can this be? ## Hello, Sissie! How are you? What type of insurance do you have? I assume that these decisions are based on that. One pharmacy may not be aware that it can be covered with prior authorization. The FDA classifies this medications as being narcotic analgesics that carry the risk of being habit forming. They may also cause side effects, such as nausea, dizziness, headache, dry mouth and constipation. Which one has your doctor recommended? ## I am covered by Medicare Part D, and use WellCare. Doctor has prescribed OxyContin ER 15mg. 2x daily for severe pain under foot after surgery. As I do not drive, and usually end up walking a good 5 miles per da...

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...anyone have the inside scoop on.....anything??? ## Go to Medicare.gov. On the home page scroll down to where it says Finds Doctors and ther health care providers, click that on. You will need to put your location and the type of dr you're looking for on the next page. Then you can get the names of the pain managements drs in your area that accept Medicare.

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Clinics near south suburbs of Chicago. I currently go to a private doctor and I cant afford it, that why I need help, I DO NOT WANT TO RETURN TO H. Please help thank you. I live in Steger IL, so if the clinic is within 35 miles of driving that is fine.

I'm a lil worried my pcp is fixing to take me off of my dilaudid I take daily due to a surgery on my stomach(it numbs my stomach so I can eat) he took me off all my other pain meds for fibromyalgia and the dilaudid don't touch the fibro, I'm a 46 yr old fm who has had heart attacks heart surgery strokes, a rare blood clotting condition that was a main contributor to all of those I lost over 100 lbs ( thanks to surgery) to get healthier now I'm worse off I have neuropathy from the diabetes I had, I also suggest from trigeminal neuralgia which causes me severe headaches that last from days to weeks I cant think of everything else but I fear I don't qualify for a pm Dr, and don't know what to do cause I try to sleep as much as possible so I don't feel the demons...

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I have osteoporosis. I had 2x reclast infusion. how many times does medicare cover this infusion? ## Hi Lucy, According to the link below, medicare seems to have stopped paying for Reclast infusions as of July 1st, 2013. However, they do list coverage for the generic version (Zoledronic Acid 1mg Infusions): cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM8286.pdf That document might be old though and I'll also admit that certain information on their website comes off as if I'm reading hieroglyphs. So I would still encourage you to contact medicare directly just to be sure that you have updated information on specific coverage. Their contact page can be found at: questions.cms.gov/newrequest.php?id=5005&subtopicID=8296# I hope this ...

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Hi, My husband needs Humira. We now have Medicare part G. on a very limited income. What do I do to get financial assistance? ## The manufacturer does have a program that may help those with Medicare who still cannot afford this medication. You can call them to see if your husband qualifies, the number is 800-448-6472. The FDA lists its typical side effects as possibly including dizziness, headache, signs of infection, neck stiffness, and seizure. Is there anything else I can help with? ## thank you I have been in contact but, they are requiring info I have to gather...guess I was looking for inside tips to deal with them...appreciate your help ## Low cost official Humira is available. Stop being taken advantage of with inflated prices. You can ask your doctor or pharmacist for more inf...

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looking for a psychiatrist that takes Medicare and will perscribe xanax ## We've recently moved to B.R. and am looking for a reputable psychiatrist (who takes Medicare) ## Hello, Charles! How are you? Unfortunately, there aren't any listings of what doctors accept any particular insurance and will prescribe a certain medication that I can search for you. Have you established a relationship there with a PCP, yet? If so, then getting them to refer you to someone would likely be the easiest way to find a good doctor. ## I need a physiologist that will help and prescribe xanax for my anxiety I suffered sever head I juries in a car wreckli e in baton rouge,la. Someone help pls ## There is no way to find out what meds a dr will prescribe. But, you can go to the Medicare.gov website an...

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My mom was diagnosed with stage IV NSCLC with only BM two weeks ago. The day before she was to get her port for Carbo/Taxol (which Medicare had pre-approved), the called and said her ALK came back positive so new plan is Xalkori. She went to get the med and the price is astronomical. She is on Medicare and there is absolutely no way that she can afford the drug, and no way even spread between the three kids we can make it work. Has anyone obtained the drug in Canada or Mexico? We're willing to do anything legal to get this for her. She got a grant that will cover two month of it, but after that we just don't know what to do. ## Is your mom low income? If she is, she might qualify for help paying her Medicare co/pay and other Medicare expenses. I have put a link below. She can al...

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Hello, please help me to find out how I can continue to stay in a methadone program that has helped me stay drug free for the past 2yrs. I live in Lancaster Pa. And I was receiving help from the Department of Welfare that was helping me alongside Medicaid/Medicare pay for me to get an stay in the methadone program. I was told I was cut off because of being $68.00 over for me to stay drug free. My question is how do I get the help to pay for me to continue to stay in the program? Please help me. {edited for privacy}. ## You have to call Malina it's the ones that approve your prescription

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Can someone recommend a pain dr or regular dr who will prescribe hydrocodone or something similar and that pharmacies will fill the prescriptions at? I was going to walgreens until all the sudden they couldnt fill anymore and told me my dr has to be affiliated w hospital. I have been on 5 a day for 3 years now or so which is no longer even working for my pain but nobody will fill prescriptions here and I am afraid to tell my dr it doesnt work anymore, i was just approved disability and now have medicare and CAN FINNALY switch to a dr and not have to pay $200 a month. My current pain providers nurse has been scaring me though tells me if i switch doctors that they will take me off of ALL my meds and make me do IV's and stuff, which i dont understand because I have pain EVERYWHERE so ...

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I am on suboxene to get off medications for back injury. The doctor I'm going to charges $200.00 per visit plus the cost of the medications. Does anyone know if doctor's accept Medicare for the office visits? ## It actually depends on the laws of your state, some states have Medicare programs that cover it, some don't. Have you tried checking to see if the coverage is there? If they do, they may also direct you to doctor's that accept it. ## I've been trying to find out if doctors in Ohio, zip code 44471 take Medicare. I truly cannot afford the $200 doctor fee, plus the cost of meds. Having so much trouble with this. Any help will be appreciated. ## Thank you so much for your help. maxri ## Trying locate doctor Johnson city tn visit r not that expensive an give a mon...

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March 15 looking for a center greater Los Angeles area or throughout the country that is not acute facility but similar to messengers in Houston that would take insurance Medicare as a primary United Healthcare as a supplement ## I am looking for an Suboxone clinic that accepts Medicare in Kentucky or surrounding areas.

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In severe chronic pain since 2000. Was seeing a CASH doctor until he left practice in 2013. My 18 year primary doc left practice in 2012. I got "assigned" 2 a doc w/ a SEVERE GOD COMPLEX, switched in may 2014 to one in Private practice, but this one is EQUALLY A Dr. Hitler. Requested Pain Mgmt REPEATEDLY but he keeps letting them SEE ME, BUT NOT to TREAT ME!!! Nobody has been willing to help me. I currently receive 1 short acting pain pill a day since march last year....and have even gotten a OMMP card, but it doesn't help my pain at all.. he also is insane enough that he said I'm an ALCOHOLIC "IN REMISSION since May 2014", even though i haven't had a Drop of alcohol since i got preggers in 1992!!! Does ANYONE have an idea 4 me?? Please? And TYSVM.