I understand that you are allotted 3 pres. with Medicaid. After that you have to get the doctors office to call in an extension. How many pres. are you allowed with the extension?
Medicaid may limit the number of refills for a prescription but you can then have your doctor re-prescribe. To the best of my knowledge they won't limit the number of prescriptions.
Medicaid is a state run program (with federal help) but that is why it's different in every state, so I could be wrong. But from what I've read and heard, most people can get what they need. It's the quantities that are prescribed at one time that are limited. So, if you need a refill, have your drug store contact your doctor. If you need a different prescription. talk to your doctor. Good luck, Carol
My mother inlaw was on nine prescriptions three years ago before she came to live with us and was not doing well. She is now 92 and is off all medications! She feels great! I wonder? It's really all about the $$'s doctors take in for meds.
Katy, I agree, I the elderly [or at any age] we are taking way too many prescriptions and over-the-counter medicines. And each one has some type of side effect, then that means MORE medicine :P
Some of those side effects are the fillers/binders/coatings that are used on the pills. I can have no side effects using one pharmaceutical manufacture for one prescription, but if I am given the same prescription from a different manufacture, I might get side effects. If something works, I ask for the same manufacture when I refill, even if it means they need to order the pills.
By the way, Obamacare [Affordable Care Act] includes the Sunshine Act, which requires all pharmaceutical and medical device companies to publicly report all payments to doctors more than $10.00.
If my doctor needs to prescribe something, I ask for a pill that has been on the market for 10-20 years, I don't want anything new where all known long term side effects haven't been noted or found yet.
Mother is on Medicaid and she has no less than 16 prescription at any given time. I think the only issued she encounters is refills or only getting one month fill at a time, where with a "regular" insurance you can often do 90 days at a time. Mom complains a lot about her out of pocket costs, but in fairness, she's on half of her drugs to combat the side effects of the first half. Also, I think it is administered on a state run basis, so your state may be different than mine. Most elderly people are on an average of 5-6 prescriptions, acc to my SIL who is a Dr., tho not a geriatric specialist. 3 scrips wouldn't begin to cover most over 70's.
I am an RN in Virginia who works with the elderly. I do not believe there is a limit to the amount of Rx's one has per month. I do know that medicaid sometimes wont cover an expensive drug and will request the Dr. to order something similar or the Dr. can sometimes over ride the decision. In Virginia, if you have medicaid and very low income, check with your County DHS office.You may qualify for what they call "extra help". Most of my client's have "zero" co pay for their meds.
Um, doctors don't make money off prescription drugs. Big Pharma does, and they do want the docs prescribing the newest, most expensive drug out there....but 2 of my kids are doctors and when I ran this idea past them that they are making ANY money off drugs, they laughed at me--they make NOTHING from the drugs they prescribe. And they both said that geriatric care is without question the HARDEST round they ever did--for one reason, some elderly people have many health issues---My own mother is kind of mess, health wise as I said, takes at least 16 pres. meds a day...my MIL is the same exact age as my mother and takes zero prescription meds. Zero. Everyone is different, for sure. I also prefer drugs with a "history"...or let's say, proven track record.
This is what happens. Your doctor prescribes a new perscription. If this becomes a maintance drug u r allowed 3 refills. After that it goes to a 90 day refill. In my nephews case, th parmacy he uses falls under the medicaid list. If there is no pharmacy then you use a mailorder company like Express Scipts for you maintainance drugs. I think this is where u get the three refills from.
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Medicaid is a state run program (with federal help) but that is why it's different in every state, so I could be wrong. But from what I've read and heard, most people can get what they need. It's the quantities that are prescribed at one time that are limited. So, if you need a refill, have your drug store contact your doctor. If you need a different prescription. talk to your doctor.
Good luck,
Carol
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Some of those side effects are the fillers/binders/coatings that are used on the pills. I can have no side effects using one pharmaceutical manufacture for one prescription, but if I am given the same prescription from a different manufacture, I might get side effects. If something works, I ask for the same manufacture when I refill, even if it means they need to order the pills.
By the way, Obamacare [Affordable Care Act] includes the Sunshine Act, which requires all pharmaceutical and medical device companies to publicly report all payments to doctors more than $10.00.
If my doctor needs to prescribe something, I ask for a pill that has been on the market for 10-20 years, I don't want anything new where all known long term side effects haven't been noted or found yet.
I also prefer drugs with a "history"...or let's say, proven track record.