Psycho-Babble Medication | about biological treatments | Framed
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EMSAM - insurance and dosage ?s

Posted by tygereyes on April 11, 2006, at 21:44:21

In reply to Re: Emsam Price, posted by strugglingsteve on April 11, 2006, at 20:41:11

Are all insurance companies forcing you to submit it for reimbursement or will some pharmacies take insurance up front? I called United Health Care and they told me it would be $50 but didn't say anything about reimbursement. Even Ambien CR and Rozerem were covered from the very beginning without reimbursement (though I needed prior approval).

Also, how long do I have to be off of Parnate before I start Emsam? I'm having such a hard time getting off of Parnate. I am truly addicted to it. I will be the first person to defend psychotropic medication (after all, I am studying to be a psychiatrist!) as generally non-addictive but I can no longer kid myself here. I can't take Parnate just like I can't take benzodiazepines - I will abuse the hell out of it. I don't know how I'm going to be able to stay off of it for two weeks, when I still have so many pills here and start feeling that "crashing" feeling every time I stop taking it. How bad would it be, exactly, if I didn't have a wash-out period between Parnate and Emsam?

And finally, what dose of Emsam is comparable to 80 mg Parnate? I have always needed to take higher doses of anti-depressants than recommended by the FDA - will I actually be able to start out at a higher dose or (like with oral medications) will I need to start on a lower patch and then go up higher gradually?

Thanks for all your help.

> I picked up my prescription today and it was $529.00 and will submit to my insurance company for reimbursement so am curious to see how that will go. Hey Robert, did the skin where your patch is get a little red? My patch has been on a few hours and its a little red. Now the wait begins to see if this will get rid of my depression and anxiety. Let the games begin....




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