FROM OUR EXPERTS
There I was this morning at the pharmacy with my mouth gaping open. The pharmacist had said, “You just need to sign here. There is no copay.”
What?! I didn’t owe anything? That can’t be right.
I knew that I needed to fulfill my insurance’s $100 deductible for prescription medications for this calendar year. I even had my credit card in hand ready to swipe through the card reader. Ready to pay the big bucks to bring home my precious one-month supply of Nuvigil (which I take to combat MS-related fatigue on occasion ).
“Why is that? I know that I owe something,” I said.
My pharmacist pulled out a brochure which included a plastic “Nuvigil Prescription Savings Card” from the pharmaceutical company. It clearly advertises “co-pay as low as $5 on your prescription refills.” A footnote at the bottom of the front page states that this “offer [i...
Full Question: I have suffered from headaches all of my life - but in the past two years they have been getting worse and worse. Every headache comes in the form of a constant sharp pain and pressure in both of my temples. It feels like my head is being squeezed in a vice. I have no halo or light sensitivity, just sharp pain. I wear contact lenses that are the correct prescription, and take a low dose of Effexor for anxiety. I also take Provigil daily for Narcolepsy. Can these be migraines or another type of headache? Also, could the headaches be triggered by the Provigil / sleep issues? I am just wondering if I should see a Neurologist. I take Relpax, but lately it has not been working to stop the pain - my headaches sometimes come for weeks at a time nearly every month. Please help! Thank you so much. Lindsay . Answer: Dear Lindsay; Yes, it’s time to see a neurologist or a headache and Migraine specialist. You don’t say that you’ve been diagnosed with Migrai...
I was asked to comment on Modafinil (Provigil®). It was originally approved by the Food and Drug Administration (FDA) in 1998 for the treatment of excessive daytime sleepiness associated with narcolepsy, and since then has gained FDA-approval for the treatment of excessive sleepiness associated with Obstructive Sleep Apnea, Hypoventilation Syndrome, and Shift Worker Sleep Disorder. Notice what is missing: MS Related Fatigue . Although there have been studies demonstrating that it is safe and effective in MS Fatigue, this is considered an off-label use of the medication. We doctors use a lot of medications off-label and we are allowed to do so, but it also means that without FDA-Approval, many insurance companies (including Medicaid) will not pay for the medication. When I traveled to Washington DC last month, I met with a non-profit group called Medicare Rights Center , which has as one of its goals to bring the “ consumer voice to the national debate on Medicare refo...
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