Fibromyalgia Support Group
You're not alone in your pain. Fibromyalgia is a condition that can be difficult to diagnose and manage. If you're trying to cope with pain throughout your body, sleep problems, general fatigue, or other common fibromyalgia symptoms, you're in the right place. The community is here for you to talk about therapies and share your challenges.
I am so ticked off. My rheumo's nurse finally called me at about 4:30 today and said that she just heard back from the insurance company and they wont cover the provogil. I asked her if there was anything similar that i could take for this aweful fibro fatigue. She said.. the Dr. did not mention anything, but I don't think there is anything else that is similar to this med for what he wants u on it for. I said its simply for fibro fatigue, my insurance will pay for ms contin which is morhpine, they have never batted an eye at it, yet they wont cover this! We pay a % of our insurance, for everything, so its not like they would have to cover it at 100%.
The nurse called me back and said no, there is nothing else he can prescribe you.
So here I sit, I have gone through my insurance book, I have seen most docs that treat fibro. I am so discouraged, I feel much worse than I did before I started seeing this rheumo, that was once really good to me and tried hard to get my pain under control. I am just irritated, cant stop crying about this entire situation. I over did it today at work, my back is spassing as hurts so bad ive given myself a stres headache.
I don't know how i am going to be able to continue to go to work and do everything around here i need to get done with this horrible fatigue. I have fell asleep and dozed off so many times tonight ive not gotten a thing accomplished, and its not just today, its every day.
I feel worse than I did before i ever found this doc, emotionally, physically and mentally. I just don't give a crap about a thing, not even me or my kids. I dont cry and this is all ive done since monday.
Ok sorry this turned into a vent and pitty party that im having for myself.
I am just so frustated.
Hubby is going to go to HR monday at work and find out if we or they can help me to appeal this.
I also asked the nurse why they denied it and she said i have no clue so i called the pharmacy. She said that the provigil for 1 month is $280.00 a month. I also take zyrtec for seasonal allergies, zyrtec is very very expensive, it doesnt come in generic and they cover that. Its almost $200.00. My cost for the zyrtec is $89.00 but a bottle of 60 little pills for that price will last me a year.
I am going to spend monday, my day off, calling different docs and am going to go see one for a 2nd opinion about what my rheumo is elling and i dont care if he gets mad at me or not. I cannot fathom the thought of trying to get thru my day with only taking neurontin and xanax of which is what my rheumo eventually only wants me to take.
grrr.. sorry this is again so long and a negative rant and vent.
I hope everyone has a nice weekend.
The nurse called me back and said no, there is nothing else he can prescribe you.
So here I sit, I have gone through my insurance book, I have seen most docs that treat fibro. I am so discouraged, I feel much worse than I did before I started seeing this rheumo, that was once really good to me and tried hard to get my pain under control. I am just irritated, cant stop crying about this entire situation. I over did it today at work, my back is spassing as hurts so bad ive given myself a stres headache.
I don't know how i am going to be able to continue to go to work and do everything around here i need to get done with this horrible fatigue. I have fell asleep and dozed off so many times tonight ive not gotten a thing accomplished, and its not just today, its every day.
I feel worse than I did before i ever found this doc, emotionally, physically and mentally. I just don't give a crap about a thing, not even me or my kids. I dont cry and this is all ive done since monday.
Ok sorry this turned into a vent and pitty party that im having for myself.
I am just so frustated.
Hubby is going to go to HR monday at work and find out if we or they can help me to appeal this.
I also asked the nurse why they denied it and she said i have no clue so i called the pharmacy. She said that the provigil for 1 month is $280.00 a month. I also take zyrtec for seasonal allergies, zyrtec is very very expensive, it doesnt come in generic and they cover that. Its almost $200.00. My cost for the zyrtec is $89.00 but a bottle of 60 little pills for that price will last me a year.
I am going to spend monday, my day off, calling different docs and am going to go see one for a 2nd opinion about what my rheumo is elling and i dont care if he gets mad at me or not. I cannot fathom the thought of trying to get thru my day with only taking neurontin and xanax of which is what my rheumo eventually only wants me to take.
grrr.. sorry this is again so long and a negative rant and vent.
I hope everyone has a nice weekend.
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theatre and I are there already. I'm having a very berry tea with crackers, cheese and cherry tomatoes and she's having a joint with some beer and we're both on really comfy recliners on thick pile carpet. we need some help with the decor if anyone is around??
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I'm trying to exercise daily. I was doing fairly well until I sprained my ankle 2 weeks ago but now I'm getting back on the horse. Today I walked over a mile with my arm weights that are about 22lbs total. I was out of shape and it was hard on my arms. I also did my 30 situps. I'm also going to drink a lot of water and try to eat healthy. I do tend to have a sweet tooth but I'm cutting...
I am going to try and prove my rheumo wrong, i just need to find some legit info to show him that narcotics do help with our pain.
I would speak to the insurance co., get a reason for the denial, ask them how you can get an approval for it. Most of the people you talk to on the phone at ins. co.s are actually decent and will try to help you get what you need. (I did customer service for insurance co's once upon a time...not a fun job!)
Anyways, that's the first thing I'd do, and if they tell you it was denied as unnecessary, see if a letter from your doctor explaining your condition will take care of it. Ask them if they want to pay for your RX, or pay medical costs in the hospital when you fall asleep driving!!
Good luck hun
Love & Peace
hope this works for you
love trish
Hubby is going to go to HR monday at work to see if they will help me dispute this.
How do i go directly thru the drug company to get them to pay for it? Ive never heard of that.
Since I started seeing this rheumo, my fibro has gotten worse. I now have bad pain in my legs hips and feet. My pain is so bad in my neck that goes down into my shoulders and then down my arms that my arms shake from so much pain. I have recently in the last few months started to feel the fibro fatigue creeping up on me. I have a job, 2 actually, i have no choice but to work, we cannot live on one income with 4 kids, yet hubby makes too much to get any assistance of any kind. My rheumo prescribed me the provogil for the fatigue. I find myself falling asleep driving home from work, i am doing alot of work here at home, working on re writing my curiculum for work, if i sit at the computer i find myself doing the head bob within 10 minutes and get nothing done because im so tired i cant focus. This fatigue is kickin my ass, the nurse said there is nothing else that he can give me in place of the provogil and it doesnt come in generic.
If anyone can help me out in getting help from the actual drug company to help pay for it id appreciate it.