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Nov 22, 2009
momtomaia2005
What does Prevacid going OTC mean for insurance coverage?
We have 2 kids on Prevacid. Maia takes 15mg 2X daily and Sam takes 15mg 1X daily. I am worried that BC/BS will stop covering their Prevacid now that it's being sold OTC. They stopped covering my reflux drug this past year and told me to take OTC stuff basically. I don't want to switch their meds. because Prevacid works for both of them. Is anyone else worried about this?
Nov 23, 2009
jeddsmommy
Jessica, Mommy to Jedd, severe reflux, severe food and oral aversions, Finally G tube free!!! VSD repair 4-24-07 (open heart surgery), hypospadias, repaired 3 times and Ear tubes Visit Jedd at his CB site: www.caringbridge.org/visit/jedd
I not sure as what each ins co will do. but most OTC meds are not covered. I know there are a few here possibly, that have tried to buy OTC meds and crush and sue them with their kids. You have to be careful because crushing and using meds is not an exact science and you could give too much or too little.
Nov 23, 2009
jeddsmommy
Jessica, Mommy to Jedd, severe reflux, severe food and oral aversions, Finally G tube free!!! VSD repair 4-24-07 (open heart surgery), hypospadias, repaired 3 times and Ear tubes Visit Jedd at his CB site: www.caringbridge.org/visit/jedd
Forgot to add, that even though it goes OTC most ins co still cover it for kids. Jedd was on prilosec for a long time and it was covered and kids take the Prevacaid solutabs and they are still covered even though you can buy both OTC.

Jedd also took Zantac and it was still covered.

Nov 24, 2009
vigilantmom
Ryan was born May 20th 2008. 9 lbs 2 oz. Ryan’s magic bullet was 30mg of Prevacid capsules mixed with Caracream from Marci-kids (I am forever indebted to the team at Marci-kids), Claratin for the mucos, and Mirlax for the constipation. Within 2 months of this combo he jumped from the 6% to the 50% for weight and continues to climb. Be strong, listen to your instincts. Read his story for more specifics that just might help you too - Karen
Depends on your insurance company. I'd give them a quick call. Mine just sent me a letter next week that generic prevacid is coming available so after the first of the year that will be the tier one drug (better $$ coverage) and Prevacid will move to tier 3. I need to "trial" the generic and if my doc says it doesnt work then we can go back to the name brand. Keep in mind we use the capsules. I know the capsules are OTC but I havent seen the Solutabs OTC yet. I will look for that today. Jessica makes a good point about kids and drug coverage. Miralax is OTC but my insurance covers it behind the counter (generic) for my son.
Nov 26, 2009
momtomaia2005
Maia takes the capsules also and I will not even try the generic with her. It's taken way too long for her to get to this point. I'm not messing with it. The baby takes solutabs and I'm willing to try generic with hers as I'm not convinced that her reflux is as severe.
Nov 29, 2009
vigilantmom
Ryan was born May 20th 2008. 9 lbs 2 oz. Ryan’s magic bullet was 30mg of Prevacid capsules mixed with Caracream from Marci-kids (I am forever indebted to the team at Marci-kids), Claratin for the mucos, and Mirlax for the constipation. Within 2 months of this combo he jumped from the 6% to the 50% for weight and continues to climb. Be strong, listen to your instincts. Read his story for more specifics that just might help you too - Karen
I have not found the solutabs OTC so you might be OK with those. Meant to ask the pharmacists in my family this weekend but I completely forgot. Sorry!! Give yours a call tomorrow.
Check with your
doctor first!