I was recently approved for disability and am being put on Medicaid. I have always taken the brand names for my AEDs. I am hoping that a letter from my neurologist gets Medicaid to cover the brand names. Does anyone else have experience with this and know about the process and likely outcome?
Medicaid coverage of brand name
- Thread starter Music36
- Start date
BIGMAN131307
Veteran
- Messages
- 2,032
- Reaction score
- 41
- Points
- 163
What you need is to have a letter from your neurologist that states why it is medically necessary for you to take the brand name AED med.
You will need to have the support of you neurologist to get this letter. In my case with
"Trileptal" the generics "Oxcarbazepine" was not working for me. My insurance wanted to
pay for the lowest price med. But the generics switched from month to month. Sometimes
in the same bottle. My CPS gotten worse every month.
So my neurologist rights my Rx:
Trileptal (Oxcarbazepine)
DAW or DAO
This tells the pharmacy to fill th Rx using Trileptal.
But if it is listed like this:
(Oxcarbazepine) Trileptal
DAW or DAO
they will give you the Generic.
FYI: DAW [Dispense As Written] DAO [Dispense As Ordered]
You will need to have the support of you neurologist to get this letter. In my case with
"Trileptal" the generics "Oxcarbazepine" was not working for me. My insurance wanted to
pay for the lowest price med. But the generics switched from month to month. Sometimes
in the same bottle. My CPS gotten worse every month.
So my neurologist rights my Rx:
Trileptal (Oxcarbazepine)
DAW or DAO
This tells the pharmacy to fill th Rx using Trileptal.
But if it is listed like this:
(Oxcarbazepine) Trileptal
DAW or DAO
they will give you the Generic.
FYI: DAW [Dispense As Written] DAO [Dispense As Ordered]