SP4RVN1971 Posted November 3, 2011 Author Share Posted November 3, 2011 I will call my primary doc and get him to write letter about my PC and the side affect from the DMII, PN and take that to the VA. Link to comment Share on other sites More sharing options...
scscrewed Posted December 13, 2011 Share Posted December 13, 2011 To get a non-formulary medication from the VA three things happen --I am on two non-forms now Celebrex and Cymbalta-- Your PCP has to try three other drug alternatives, and those drugs must fail. So, for Celebrex. I took mobic and nsaids. I almost bled out from the nsaid. Now, I get to take Celebrex. I was on it in the military, but it didn't work great, so they put me on Vioxx, until it got pulled off the market. Fail three then you get. Or, if there is no alternative to the medication then the doctor can prescribe it immediately. Link to comment Share on other sites More sharing options...
HadIt.com Elder Pete53 Posted December 14, 2011 HadIt.com Elder Share Posted December 14, 2011 Sc yes that may be what us required at youe VAMC but there are hundreds of VA Medical Centers and many have different rules. The main rule for the formulary is to dispense medication on the cheap. That said in Dallas your PCP can get it with a note to the pharmacy. Since the VA tracks this stuff it can still be difficult. Link to comment Share on other sites More sharing options...
scscrewed Posted December 14, 2011 Share Posted December 14, 2011 (edited) You're right Pete, the rules that govern non-formulary are simply that a request procedure exist at each medical center, that each pharmacy review each request within 96 hours, and that an appeal process exists for those individuals who are denied a medication that is non-formulary. You have to check with the individual medical center to find out how they go about it. Edited December 14, 2011 by scscrewed Link to comment Share on other sites More sharing options...
HadIt.com Elder Pete53 Posted December 15, 2011 HadIt.com Elder Share Posted December 15, 2011 My Medicare Cardioligist wrote on a prescription note if this patient does not get plavix he will die and guess what they gave it to me. Link to comment Share on other sites More sharing options...
NJBB62 Posted December 15, 2011 Share Posted December 15, 2011 Pete, Same with me, cardiologist wrote a letter to VA Stating I needed to be on Plavix for life, But every year they try to stop the prescription! Link to comment Share on other sites More sharing options...
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