Tag: ADD medication denial

18

Feb2018
My patients have been complaining for years about getting there prescribed ADHD medications approved by their insurance companies. With each passing year this becomes increasingly more difficult. Since January 1, 2018, with insurance companies making changes to policies and formularies (tier system that determines copayment amounts for medication), patients have ... Read More
February 18, 2018David W. Goodman, MD

23

Jan2016
With each passing year, insurance companies are instituting contractual clauses in benefit packages that restrict psychiatric medications for patients. Specifically, this comes in the form of prior authorization for stimulant medications, despite FDA approval of these medications for ADHD. Combine the prior authorization process with changes in drug formularies (a tiered ... Read More
January 23, 2016David W. Goodman, MD

20

Apr2015
In my periodic entries of insurance companies' denial of ADHD medication dosing, I offer you this recent example. A female in her late 20s treated for ADHD with a combination of Adderall XR and Strattera. Strattera adds a benefit for her executive function not optimized with Adderall XR. I carefully dosed ... Read More
April 20, 2015David W. Goodman, MD

15

Sep2014
With each passing day, I encounter an increasing number of obstructions by insurance companies to authorize and provide my patients with their much needed medication. In my last blog, I highlighted Sav-Rx bogus reason to deny my patient the authorization to continue effective medication because of a change in policy ... Read More
September 15, 2014David W. Goodman, MD