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Kids With Special Needs and Disabilities
Reply to "United Healthcare not covering certain ADHD meds"
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[quote=Anonymous]hi. I work for an insurer in pharmacy. just because it is off formulary doesn't mean you can't get it. 2 options. pay full price (but still get a discount) or appeal. often you can get coverage with proof that other meds failed etc. you can thank the endless amount of people over prescribing and over utilizing these meds for putting you in this position. if they allow all the drugs the abuse and fraud in this class is insane. some controls for cost and overuse just have to be put in place sometimes. if your child really needs one particular drug and there is doctor and rx history, it should go through. [/quote]
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