Hello, All:
I'm having a lot of trouble getting Zofran refills approved by Unicare, and have been paying out of pocket for a 3 weeks already. Luckily my Dr. was extremely proactive and started me on meds immediately after only a couple of days of constant vomiting. I've now reduced my dosage to the minimum that keeps me from vomiting (much), though the nausea is often severe. I'm really feeling at a loss here. It's the only thing that has been keeping me able to function -- I'm sure you're all familiar with this. I tried both Reglan and Compazine first, and had unbearable side effects with both. The Zofran was like a miracle. I'm now 12 weeks and have actually gained a bit of weight as I should.
Unicare refused the initial application, then denied the appeal, and keep giving me a real runaround (claiming they didn't receive various faxes, giving no concrete reasons for denial other than "not medically necessary"). My Dr. sent them a letter -- perhaps it was too positive -- about how well I'm doing on the Zofran (maybe he should have emphasized that if I weren't taking it they would be paying for me to be on an IV...hard to get your Dr. to take dictation, no?)
Anyway, the last communication I got was that I have the right to an independent appeal by the State of CA, which I plan to do. Has anyone been through that? Any tips? I don't meet the income requirements for the GSK help, but paying out of pocket for Zofran is enough to break anyone's bank account.
Thanks,
Susie