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ADHD in California

Partnership Medi-cal Prescription Issues

Hello, I was hoping to find help to dealing with Partnership Medi-cal and being prescribed 100mg Adderall (generic) a day… They allowed it for 2 months after my old and better insurance ended and without telling me, expected me to lower (titrate) to an acceptable level and then switch to methylphenidate. I found this out the hard way with severe breaks in my medicinal treatment. I’m 31 and a male and 1x20mg IR in the AM followed by 2 - 40mg ER doses throughout the day worked best for me for a few years and now insurance is mucking it up… Any relief? Thanks.

Replies

Have you asked your pharmacist or Dr about a per? I went through trouble getting my son back on Vyvanse until we put a per through now everything is good! smile

Posted by ADHDMoooM on Apr 29, 2014 at 6:21am

P.S. I have medi-cal for my son also

Posted by ADHDMoooM on Apr 29, 2014 at 6:22am

a ‘‘per”? I’m not familiar with that term, so I googled it.. meaning ‘through.’ I know I have to do a TAR. or Treatment Authorization Request… Then things get approved. I’m really wanting the Dr. to do a peer-to-peer with Partnership/Medi-Cal and once and for all over ride their limitations. What bugs me is most Dr.s and the rest go by numbers to ultimately, the bottom line, control the dollar. When is a different person the same number as the next person. Anyway, no, I’m not sure of a per and haven’t heard or read of it and I’ve called Medi-Cal several times and discussed in loops with this bureaucracy. Thank you though.

Posted by visfxguy on Apr 29, 2014 at 11:14am

i have med-i-cal, i see a private doctor on there provider list for over 5 yrs. now.so #1, switch doctors if your going to a county clinic,#2 get a paitient advocate insurance companys cant tell a dr. what he can or cant prescibe, otherwise we would be treated by inurance co. not doctors. #3 you might be luckyer then me but i had to fight a year before theyed assighn me an ADD psychiatrist.so be paitient but stay pissed.these people are a—holes….goodluck   TOMKAT

Posted by tomkat24 on Jun 07, 2014 at 12:28am

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