Child Health Plus (BCBS) no longer covering Ritalin.
My daughter takes Ritalin. She is on NY's Child health plus. Picked up my script for her and went to get it filled at Walmart. Now they don't cover it anymore. We could go to the generic, but they don't have a time release version and the other stuff didn't work for her. Is this how they are saving money? No longer covering something like ritalin? It just get's very depressing. Every time I feel like we are doing ok something kicks us in the teeth. I mean, we already got kicked off the Family Health Plus and our two younger daughters got kicked off medicaid. Now this.
Why she needs the Ritalin, and that changing to a different ER drug is unnecessary experimenting. They don't all work the same, and some have side effects that the Ritalin may not have on her. (we had to try different drugs for my son.)
The good news is that if there is enough medical backlash, they might change their minds. United Healthcare tried to dictate the dosages of Seroquel a couple of years ago (said kids had to take a minimum of 100mg per dose), but they backed down from practicing medicine.
2. turns out there is a generic. I misunderstood the lady.
They are backordered and can't get it anywhere. And BCBS said they will no longer cover the name brand ritalin at all... so they will only cover the generic even if it is backordered and you can't get it anywhere.