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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][quote=Anonymous]We just switched to UH and my son has been taking Methylphenidate since 2012. He is finally doing great on the dosage we have him on and feeling successful. He is 13 years old and I can't get it refilled with UH. I'm not happy and on hold waiting for a manager who will tell me WHY they are doing this. I figure it's because of kick backs they are getting, but as I told the girl on the phone very verbally you do NOT mess with this type of medications when they are working for an individual. It's a struggle each day just to deal with the real world and others not understanding, now they want to make it even harder for people and forcing them to make a quick change. A 13 year old has enough changes going on in his life and I'm just sick to my stomach that I need to switch him now. :([/quote] Is this one of the medications for which UHC requires precertification? If so, if your doctor's office is cooperative, you can usually accomplish that in a day or even a few hours. I have never had trouble getting this prescription filled, but I do have to do the precertifications. With our plan, precertifications started at age 13, which hit me by surprise at the time. They have to be redone annually. [/quote]
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