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...
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...
In How to Manage MS-Related Fatigue , pharmacological and non-pharmacological strategies to combat fatigue were discussed. MS fatigue is not the same as simply being tired, or muscles which are fatigued after a good work-out, or the desire to sleep in on a Saturday morning. MS fatigue can be debilitating and interfere with daily functioning.
Even before I was diagnosed with multiple sclerosis, I was T.I.R.E.D.!!!!
After diagnosis it got worse, to the point where I needed to take 2-3 naps daily just to make it through. So I mentioned this to my neurologist who gave me some samples of a medication to try. Those samples were for Provigil, a prescription medication used to improve wakefulness in adults who experience excessive sleepiness due to one of the following diagnosed sleep disorders: obstructive sleep apnea, shift work sleep disorder, or narcolepsy.
Modafinil (Provigil ® / Cephalon, Inc.) is not approved for MS-fatigue but is commonly ...
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