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Re: Provigil insurance approval?

Posted by manowar on May 10, 2002, at 16:39:03

In reply to Provigil insurance approval?, posted by Blue Cheer1 on May 10, 2002, at 9:46:23

> Has anyone had a problem with your insurance approving Provigil for a psychiatric disorder? If so, what did you or your doctor do?
>
> Thanks.
>
> Blue

Hi Blue,
Yes, I had the same problem. Provigil is only indicated for Narcolepsy (I have ADD), therefore because of its high price (retail- about $150 per month), most insurance companies will not cover the drug.

I did two things:
First, I called my doctors office and asked the nurse to call the insurance company and explain why I need the med.

Second, I called Cephalon, the company that manufactures the drug, and the lady told me that she would contact my insurance company. I think she told me that sometimes they could make certain arrangements with the insurance companies to bring the price down. Anyway, my insurance company still balked, so I take its sister drug-Adrafinil that I get from overseas. I figured that the Adrafinil costs about $3 a day, and the Modafinil (Provigil) would cost about $15 a day. I've taken both drugs, and they seem to work about the same.

From the www.provigil.com website:
"For Additional Information Regarding Provigil,
Please Contact Cephalon Professional Services.


1-800-896-5855"
Good Luck,
Tim


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URL: http://www.dr-bob.org/babble/20020510/msgs/105913.html