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Prescription hassles for adults with ADD


I’m finding getting my Adderall prescription refills are a big hassle compared to my ADHD son’s refills for the same medication.  For me, my PCP writes my Adderall prescription for 30 days only with no refills.  Here in Texas, Adderall is a controlled substance so no refills are allowed with my pharmacy and a new Rx form has to be written and signed by my PCP on a State of Texas issued Rx form. I have to drive 10 miles to his office to physically pick it up and take it to my pharmacist.  This is my routine every month. 
  My son’s physician, a Psychiatrist, mails his 90 day Adderall prescription to our mail order pharmacy which the medicine is then mailed to us.
  I asked my physician to do the same for me, and he said because I was an adult, he could not ( or would not) write 90 day prescription.  Something to do with Adults may use the 90 day amount to sell on the streets for a nice profit.  Sounds preposterous. Why do ADD adults get treated different than ADHD kids? 
Is it because my Rx is written by a family doctor and my son a Psychiatrist?

Replies

I’m in Houston and my doctor also writes for 30 days, but he gives me 3 or 4 scripts at the same time with “do not fill before” dates written on them. It’s more expensive than mail order and I have to go to Walgreens every month, but I don’t have to drive to his office and possibly pay a co-pay for an appointment.

I have talked to my mail order pharmacy and they say I can mail them prescriptions, but I’m not clear on whether or not they’ll send me 90 days at a time or not. I don’t want any refill trouble so I just do it a month at a time in person.

Posted by spikeinhouston on Dec 25, 2013 at 3:54am

I’m not in Texas, but I have a copay for nearly every 30 day prescription.  Once in awhile I can skip a doctor visit.  He has to see me every so often, but I can’t remember how often that is.

Posted by whizinc on Dec 25, 2013 at 5:47am

I understand your frustration.  I have been taking Concerta since 2009.  I have had to visit my psychiatrist once a month to obtain my prescription for the month.  I have learned to accept that fact.

This past month I started a new job and received new benefits.  When I went to my pharmacy to get a refill, the prescription plan (CVS Caremark) refused to fill it.  They stated that I must obtain a pre-authorization from them.  What that means is that my doctor has to call some mysterious doctor/pharmacist to make sure it is acceptable for me to obtain my prescription.

My eight-year old son who also has ADHD takes Focalin.  Two days prior to attempting to re-fill my prescription, my son’s prescription was filled.  When I brought this to the attention of CVS Caremark, they indicated that pre-authorization was required in my case because I was over 18.

Posted by David_1 on Dec 25, 2013 at 6:07am

I wonder if these problems are an attempt to control illegal use or if the insurance companies don’t believe adults can suffer from ADHD?. If someone is going to sell these drugs illegally it would be easy to sell their child’s drugs, and it seems obvious people don’t grow out of ADHD and need treatment their whole lives.

Just another insurance company policy that doesn’t make sense.

Posted by spikeinhouston on Dec 25, 2013 at 6:44pm

I feel really lucky. I live in Washington state, and my psychiatrist gives me TWO 90-day prescriptions for Adderall at a time, with one marked “do not refill before ...” (a date that is 3 months after the first one). I hand-carry the two prescriptions to my Kaiser pharmacy, and they fill one right away. Three months later, they will mail me the next 90-day supply. So, I only have to see my psychiatrist every six months - and I’m on two other meds from him, in addition to Adderall.

I’ve been with the same psychiatrist for 10 years, and at first, I had to pick up the new Adderall prescription at his office or have him mail it to me every month, and I had to see him every 3 months. Pretty soon, he started giving me three 30-day prescriptions with “do not fill before…date” (30 days apart), every three months when I saw him. I don’t know if the laws vary from state to state on this, or if your psychiatrist has to trust you first. I’m sure you have to have been on these drugs long enough to know you’ll be on them for another 3 months without switching to a different one.

Early on, when you are new to a drug, they make you see them much more often and give you shorter-term prescriptions.

I hope it gets easier with time. The first time I tried to get my Adderall prescription refilled, I had to go to the pharmacy (it wasn’t Kaiser) FIVE times before they got it filled correctly. Good luck.

Posted by pnwsuzie on Dec 26, 2013 at 3:07am

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