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formula and insurance

I wanted to let you all know to check with your insurance companies. I had my pediatrician write a script for our formula and we submitted it to my prescription company and I am now paying a small copay for a 3 month supply of formula which is coming to us via UPS. I had dr write it for ready to feed but my insurance would only send concentrate however I do know others who are receiveing the ready to feed. Just thought I would let you all know on the little secret that insurance wont tell you.

 

 

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Re: formula and insurance

  • Which kind of formula are you using? I was under the impression that Insurance only covered certain types, like Alimentum and Neutramigin (sp?).
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  • they covered similac advance and similac sensative we r now on...i checked they even would cover enfamil as long as my dr wrote the script and he did
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  • Oh wow! That's awesome!
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  • we are also asking our pedi. for a script tomorrow because A is on isomil for his sensitive stomach. our insurance, i believe, covers anything that is labeled sensitive. hopefully he'll do it for it because $17 a week for formula is starting to get expensive!

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    engaged. 04/12/08 <3 married 07/09/10 <3 A.J 09/29/11 <3 baby #2 due Jan 3, '15
  • ME!!!  I have FDNY Union prescription: CVS Caremark!

    I get Similac Sensitive Gas & Fusiness RTF 32oz jugs just like what they sell in stores.

    I pick mine up at RITE AID locally, because they "didn't have it in warehouse" it takes 5 days to fill and I picked up 30 jugs on Friday.  Our new doc just wrote a script for 3 months supply each time to order mid month.  WOOHOO

    I paid 53$ copay which is $1.80 a bottle AND RiteAid said to bring checks next time to pay with from similac:) 

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  • imageappletinibella:
    we are also asking our pedi. for a script tomorrow because A is on isomil for his sensitive stomach. our insurance, i believe, covers anything that is labeled sensitive. hopefully he'll do it for it because $17 a week for formula is starting to get expensive!

    Wait til he is drinking a lot more than that!  It will go up!!  Good Luck!! 

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  • imageappletinibella:
    we are also asking our pedi. for a script tomorrow because A is on isomil for his sensitive stomach. our insurance, i believe, covers anything that is labeled sensitive. hopefully he'll do it for it because $17 a week for formula is starting to get expensive!

    I was going through way more than that befor ei found out about the insurance thing......now my son is eating so much  and drinking!

    I pay 25.00 for a 3 month supply of similac sensative so I am so happy now!

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  • imageappletinibella:
    we are also asking our pedi. for a script tomorrow because A is on isomil for his sensitive stomach. our insurance, i believe, covers anything that is labeled sensitive. hopefully he'll do it for it because $17 a week for formula is starting to get expensive!

    I was going through way more than that befor ei found out about the insurance thing......now my son is eating so much  and drinking!

    I pay 25.00 for a 3 month supply of similac sensative so I am so happy now!

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  • imagechrishvny:

    I was going through way more than that befor ei found out about the insurance thing......now my son is eating so much  and drinking!

    I pay 25.00 for a 3 month supply of similac sensative so I am so happy now!

    thats good to know! sometimes its 2 cases a week depending.. A is taking 6oz every 5 hours. we have a dr brown pitcher that we premake formula for the day! we think we weighs close to 12lbs. hes a big boy. at least he's gaining weight!


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    Lilypie Third Birthday tickers

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    engaged. 04/12/08 <3 married 07/09/10 <3 A.J 09/29/11 <3 baby #2 due Jan 3, '15
  • imagechrishvny:

    imageappletinibella:
    we are also asking our pedi. for a script tomorrow because A is on isomil for his sensitive stomach. our insurance, i believe, covers anything that is labeled sensitive. hopefully he'll do it for it because $17 a week for formula is starting to get expensive!

    I was going through way more than that befor ei found out about the insurance thing......now my son is eating so much  and drinking!

    I pay 25.00 for a 3 month supply of similac sensative so I am so happy now!

    Ha! I wish we could pay that. C is on EleCare until he's 2 because of dairy and soy allergies. He wasn't able totolerate Nutramigen or Alimentum. We have to go through a medical supply company and pay 15%. We pay $335/month for formula since he was switched to EleCare Jr and that's with him eating 3 good meals/day plus snacks. 

     

  • My insurance denied alimentum- even after several appeals. :(
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  • imageMellie907:
    imagechrishvny:

    imageappletinibella:
    we are also asking our pedi. for a script tomorrow because A is on isomil for his sensitive stomach. our insurance, i believe, covers anything that is labeled sensitive. hopefully he'll do it for it because $17 a week for formula is starting to get expensive!

    I was going through way more than that befor ei found out about the insurance thing......now my son is eating so much  and drinking!

    I pay 25.00 for a 3 month supply of similac sensative so I am so happy now!

    Ha! I wish we could pay that. C is on EleCare until he's 2 because of dairy and soy allergies. He wasn't able totolerate Nutramigen or Alimentum. We have to go through a medical supply company and pay 15%. We pay $335/month for formula since he was switched to EleCare Jr and that's with him eating 3 good meals/day plus snacks. 

     

    If only there was a way Mellie- EleCare is 8$ copay through mine according to website which means like 53 like I paid for similac 

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