Adderall not covered by GEHA in 2023?
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Anonymous
| I received notice that GEHA Standard will not be covering Adderall for 2023. Customer service told me she didn't know why, but she knew other insurance companies were doing the same. Does anybody know why they won't cover it? Will they cover the generic? She said the Concerta generic would be covered if I wanted to switch though. |
Anonymous
| Aetna is removing Adderall from formulary, too. So pissed. |
Anonymous
|
Oh wow--that is not good news.
I wonder if it is because prescriptions for Adderall increased since the pandemic? Has anyone heard whether BCBS will be covering it? |
Anonymous
|
OP here:
Does that mean the generic Adderall will not be covered as well? I can get the generic for $25-30/month if I pay out of pocket from my pharmacy. I may end up doing that because I like the med combo I am on now. |
Anonymous
| BCBS cut my son's brand-name stimulant (Dyanavel) from its formulary last year, so I wouldn't be surprised to see the other brand names removed as well. My guess is they'll all continue to cover generics. |
Anonymous
Do your research on generic Concerta before switching. The only true generic that has the same delivery system as Concerta is no longer being produced as of this month. The other generics do not work for lots of people, including my kid. I can’t even get any of the generics right now with shortages. |
Anonymous
| Concerta is not the same as Adderall. Both of my kids started on. On stimulants, then moved to Ritalin/Concerta, and eventually to Adderall. Only Adderall has worked for them |
Anonymous
|
I got a notice that GEHA will no longer cover Concerta, which DS has been on for years and works well. He has tried others with bad results. The unique way the name brand medication is delivered to the body is different from any of the generics. The generics just don’t last as long and aren’t as smooth when they start to wear off. I’m worried about irritability, moodiness, and behavior with being forced to switch to a new drug. DS is driving now and is on track to graduate and attend college. I don’t want a forced med change to screw that up. Out of pocket from my pharmacy would jump to over $400/month.
Time to start looking for a better insurance company. Any feds know of a plan that covers Concerta? |
Anonymous
OP here again: Will BCBS Basic cover Adderall? Any of the other ones? |
Anonymous
| Just use GoodRX self pay. I found it much cheaper than going through my insurance. |
Anonymous
| BCBS stopped covering my kid's Prozac. They're doing this kind of thing now. |
Anonymous
| United healthcare still covers Concerta- just checked the prescription list for 2023. |
Anonymous
Adderal is requiring prior authorization. I never got a notice that they would stop covering it. I would left them at open season. I really really dislike insurance companies |
Anonymous
| When 10-25% of kids need drugs to get through the school day, it's time to stop drugging the kids and change the school day. And rethink our expectations of kids. Why is the US the only country that medicates children for ADHD as a first step? |
Anonymous
Mind your own business and stop telling parents what's best for their children. |