Posted By Posting
Jan 22, 2009
Rx formula
Our insurance doesn't cover the rx formula. Any suggestions on working with our insurance??
Jan 22, 2009
Adriane Reese 05/16/07; seemingly healthy when born; diagnosed with MSPI, severe Reflux, Apnea, Ashtma, Epilepsy, and severe food allergies(rice, corn, milk, soy, eggs, oats, wheat, beef, chicken, squash, pumpkin, avocado, etc.);On apnea monitor, seems to be tolerating RCF w/carbohydrate mixed in; on Zyrtec, Xopenex, Prevacid
Our doc worked with Apria healthcare. They help with specialty health supplies and nutritional needs. If you ask your doc if they can put the script for the formula through them then it can be billed as a medical equipment or prescription depending on the insurance. Plus, they deliver to your home and call every month when it is time to reorder. Our previous ins covered all but the carb we had to add into A's formula. The new ins we are on cover only part but it is better than nothing. I hope this helps! -Amanda
Jan 23, 2009
Andrea: Mom to 3 crazy girls!
Jackie (3/01)
Payton (9/03)
Abby (4/06) Prevacid 7.5mg (evening), MSPI, goats milk (currently trying to wean off Prevacid)
Our insurance initally said NO also but another mom gave me APRIA's number and they got the insur. to cover 80% of the cost under durable medical equipment. Def. give them a call 1-877-536-8372
Jan 23, 2009
Zack born 09/28/07 @ 31 weeks. Dx silent reflux @ 6 mo. Now not so silent. Switched to Elecare @ 9 mo. On Prevacid 15mg 1x daily. Looking to stop the puke and gain some lbs.
Puke stopped about 24 months and he's learning to eat...very slowly.
Still on prevacid and periactin.
we ended up going through luck with our insurance
Jan 23, 2009
Gail - mom to a six year old with reflux and an infant with reflux
Check your local and state resources. What we call CMS special needs clinic in our state (Georgia) will pay for prescription infant formulas. To get the formula for free the individual must be between the ages of 0 to 21 years of age and have a medical condition that the CMS clinic covers. The complete listing of conditions that the CMS clinic will cover consists of 32 pages of front and back typed information. Good luck in your search for funding!
Check with your
doctor first!