I have major depression,and have been on lots of SSRI anti-depressants since I was a teenager. I was on Cymbalta 60mg(paid for by my insurance with no ?'s asked) from 7-2008, until March of this year. My memory has gotten horrible over the past 3, 4, or 5 years, and I changed from Cymbalta to Paxil Cr 25mg in March, because I thought the Cymbalta was making me forgetful. I took Paxil Cr for 6 months, and my memory didnt improve, and I didnt get the relief from Paxil cr that I had gotten with Cymbalta, so I told my psychiatrist to put me back on cymbalta. So I go to the drug store in late September to get my Cymbalta filled, and I was told my ins co was requiring prior authorization before they would pay for the Cymbalta. So I called my psychiatrist(he is retired but still sees a few pts, but he doesnt deal with insurance anymore, only private pay) and left messages asking him to complete a prior auth. for my ins comp. for my cymbalta. I never got a return call from him, or a prior authorization. So I called my new family physician that i have only been to twice, and explained my situation and requested a prior auth. for cymbalta, so he submits one. Since I am new and he hasnt followed me for my depression he didnt put on the form that I have Major Depression. So I get a letter from my insurance comp. denying my Cymbalta. So I call back and ask him to list major dep. on a new form, and resubmit it to my ins. company, so he did. Now the ins. is telling me I have to appeal the denial, and that could take up to 30 days. Ok its been several weeks now since i HAVE HAD ANY ANTIDEPRESSANT, and im decompensating quickly!! To the point that I probably need hospitilization. I dont understand what the big deal is with the ins not wanting to pay for my Cymbalta!! I mean do they think Im just lying to them when i say I have major depression? Is that something that people usually just make up and lie about?? NO!!! If I was Dr hopping and a frequent flyer to ER's seeking pain pills and benzo's the ins. comp. would pay for that crap all day long with no problem!! I mean it kinda gets to the point that I start thinking maybe insurance companies would rather pay for pain pills and benzos hoping people will od and die, and denying us anti-depressants hoping we will kill ourselves, and then they can just mark us off of their list when were dead, and they dont have to pay for anything anymore!!! Has anyone else had this problem?
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