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Wording for VSL3-DS Rx

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Ulcerative Colitis
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Posted 6/5/2012 10:16 AM (GMT 0)
I have always used the capsules and paid out of pocket, because I am not thrilled about the corn starch in the DS packets... But if I can get my insurance to start picking up the tab, I will happily try the DS since I can start buying out of pocket some more of the other probiotics I would like to increase. Just wondering how some of you who get good insurance coverage on the DS have the script written out, in wording- sometimes how it is written makes all the difference. Thanks.

Post Edited (Probiotic) : 6/5/2012 5:59:39 AM (GMT-6)

Posted 6/5/2012 12:17 PM (GMT 0)
Probiotic,

I can't help with how the prescription should be written for the DS, however I would suggest you get it written to take 3 sachets per day. This way, on the days you are doing well you can only take 1-2, and on the days you're not doing well you can take 3-4, giving you some leaway.

What do you think?

How are you doing with the L-Threonine?

Posted 6/5/2012 12:29 PM (GMT 0)
I don't know if the way the prescription is written matters- I think the pharmacy just puts in a claim with the name of the med and the quantity. It's likely that VSL isn't on your insurance formulary and your dr will have to do a pre/prior authorization. It involves the dr (usually the nurse, actually) filling out a form or writing a letter explaining the necessity of the treatment. They do this frequently in the specialty offices so they should know how to spin things to increase the likelihood of the medication being covered- previous success on the med, failure of other drugs, and severity of disease are standard. However, some insurance companies do have medications that they just do not cover, no matter what.
Posted 6/5/2012 2:09 PM (GMT 0)
Thanks- will try those suggestions. Have heard that Aetna, my insurer, may have made it harder but not impossile to cover VSL3- will see. I know the capsules weren't covered, and if I could afford it I woukd take about 30.00 of probiotics a day.

InSoFla- doing fairly well. Had three BM's this morning thus far- two formed and the third mush unfortunately, but I may be done for the day.
Posted 6/5/2012 4:36 PM (GMT 0)
My insurance won't cover it, and I was told they rarely do.... so, no VSL for me.
Posted 6/5/2012 5:14 PM (GMT 0)
Mine covers it, but I have a high deductible plan, so pay out of pocket for half the year. Just starting to get it covered at 80% now... They come in boxes of 20, so my doctor and pharmacy (Medco) initially had trouble getting it straight. Initially, they only prescribed one box per month, instead of one satchel a day...
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