I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: Pre-Dialysis => Topic started by: Deanne on March 09, 2011, 07:16:04 AM

Title: Insurance refusing to cover Sensipar
Post by: Deanne on March 09, 2011, 07:16:04 AM
My neph wants me on Sensipar, but my insurance company is refusing to cover it.  :thumbdown; Any suggestions?
Title: Re: Insurance refusing to cover Sensipar
Post by: paul.karen on March 09, 2011, 08:48:28 AM
Stupid insurance companies know better then our doctors.

Have your Neph write them a note stating you need this drug.
Title: Re: Insurance refusing to cover Sensipar
Post by: willowtreewren on March 09, 2011, 11:40:28 AM
Ask your social worker for a coupon. Reduces the cost to a few dollars.  :2thumbsup;
Title: Re: Insurance refusing to cover Sensipar
Post by: Deanne on March 09, 2011, 12:59:32 PM
I don't have a social worker yet. My neph gave me a Sensipar pharmacy card to use (is that the coupon you mean?), but apparently it's use still requires my insurance company's approval and they refused it. I have a call in to my neph. I'm hoping I can just keep using calcitrol instead.
Title: Re: Insurance refusing to cover Sensipar
Post by: willowtreewren on March 09, 2011, 01:45:55 PM
Quote
I don't have a social worker yet. My neph gave me a Sensipar pharmacy card to use (is that the coupon you mean?), but apparently it's use still requires my insurance company's approval and they refused it. I have a call in to my neph. I'm hoping I can just keep using calcitrol instead.

ARGH!!!  :banghead; :banghead; :banghead;
Title: Re: Insurance refusing to cover Sensipar
Post by: KarenInWA on March 09, 2011, 03:05:42 PM
All I can say is I HATE HATE HATE HATE HATE being sick in the USA....

 :rant;

Sorry to hear this Deanne.  Like we need this kind of stress!  :grouphug;

KarenInWA
Title: Re: Insurance refusing to cover Sensipar
Post by: paris on March 09, 2011, 04:25:56 PM
I get frustrated with all of it.  But, my expenses for surgery and all that went with it, comes close to $200,000.  We have had to pay a few hundred.  I can't complain because I know others have it so much worse.  I had top ranked surgeons, private room, 1 day in ICU, chemo, and on and on.  This isn't a cheap disease and the anti rejection meds are very expensive.  My doctors insist on brand names for Cellcept and Prograf.  I am ok with that.  The surgeon sent a note to insurance company and pharmacy stated that brand name is  "medically necessary".  See if yours will do that.  It might help.   I'm sorry. None of us need this extra stress and worry.   :cuddle;
Title: Re: Insurance refusing to cover Sensipar
Post by: sutphendriver on March 09, 2011, 04:35:04 PM
Might try Zemplar too, some times they cover one but not another...different pharm company's I guess.
Title: Re: Insurance refusing to cover Sensipar
Post by: paris on March 09, 2011, 04:36:29 PM
Might try Zemplar too, some times they cover one but not another...different pharm company's I guess.

You are so right!
Title: Re: Insurance refusing to cover Sensipar
Post by: greg10 on March 09, 2011, 04:51:06 PM
My neph wants me on Sensipar, but my insurance company is refusing to cover it.  :thumbdown; Any suggestions?
I am sorry to hear about your situation.  Could you explain your condition a little more and why your nephrologist is prescribing Sensipar.  Sensipar is not a wonder drug and it is not generally indicated for someone not on dialysis.
"Sensipar is NOT approved (nor does Amgen support its use) for patients who are not on kidney dialysis"

BTW, it appears that even in Canada, you may have problem getting Sensipar under some circumstances:
http://www.dialysis-do-or-die.com/2010/12/unafordable-sensipar-for-dialysis.html

Amgen Sensipar pharmacy card (http://www.amgen.com/amgenassist/copay_sensipar.html) to reduce copay.  This still requires the insurance company to pay up to $5000 per year per patient, it only reduces the copay for the patient for up to $3000.  Sensipar just costs too much.

Generic Sensipar has been denied in the US until at least 2016:
http://www.bloomberg.com/news/2011-01-07/amgen-wins-ruling-against-teva-in-generic-sensipar-fight.html
Title: Re: Insurance refusing to cover Sensipar
Post by: gothiclovemonkey on March 09, 2011, 08:35:58 PM
i too was denied the sensipar, and it led to me getting a parathyroidectomy. My insurance covered it, then when i switched to a new pharmacy, they said it wasnt covered, called dr ,but he never did a damn thing about it, now ive switched to yet another pharmacy, and half the meds i was told were denied, are accepted here! so u may check another pharmacy... good luck!
Title: Re: Insurance refusing to cover Sensipar
Post by: Deanne on March 10, 2011, 08:25:30 AM
I checked with Medco directly - my prescription coverage. Their website states up-front that they won't cover it, so I don't think the issue is with the pharmacy. 

My neph wants me on Sensipar because, although I'm not on dialysis yet, my PTH is still very high. I don't remember the exact number, but she wasn't pleased. I left a message asking her if I can just make do with Calcitrol for now and see what happens after I start vitamin D (just got a prescription for it). 
Title: Re: Insurance refusing to cover Sensipar
Post by: sullidog on March 10, 2011, 02:33:05 PM
Have you talked to your insurance and asked them about it? I would talk to them directly to seek out their reasoning.
Title: Re: Insurance refusing to cover Sensipar
Post by: MooseMom on March 10, 2011, 04:25:33 PM
I think greg may be right.  I'd ask your neph about the difference between Sensipar and Zemplar.  Hyperparathyroidism can be treated with a vitamin D analog (Zemplar) and may be safer than Sensipar.  This may be a blessing in disguise and may be why the ins co denied coverage for Sensipar, ie, you are not a dialysis patient.