New healthcare thread...

For all I know that is what it would cost us as well if the insurance would cover it. The $145 was without insurance and some discount card the pharmacist said they used. The doctor has tried 3 times but, I don't know if they have written a letter.

Call the doctor and ask for the written letter. It is what I did. They (insurance) approved mine but only for (3) 90 day supplies per year because apparently math is hard.
 
Yeah, that is what I take as well. I had to get approved to take. My doctor had to write a letter to the insurance stating this was "medically necessary."

I’ve been taking the OTC version everyday for years.

I just double the dose to take the same RX strength.

I had killer ulcers back in 2020 and lost like 50 lbs in 9-10 Months and was down to about 120lbs at 5’10

I just finally had enough and said to myself I’m gonna take this stuff everyday no matter whether you are supposed to or not.
 
Not giving specific medical advice... but yes, OTC omeprazole is a 20mg tablet and that is the original prescription strength. It works fine for most people who don't need much more expensive branded proton pump inhibitors like Nexium, Prilosec, and Protonix.

Please discuss with your physician before making a change though.

42 tablets cost 12$ at Costco just now.
 
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Really sorry to hear that, @CrimsonNagus - truly feel for your wife.

That Insurers are allowed to override doctors is criminal, imo.

My wife was due to have a colonoscopy a couple years ago - a procedure that was supposed to be covered on my insurance if it was for preventative care.

She was having some stomach troubles, and her Doc recommended a colonscopy.

We ended up getting slammed with the cost of the procedure due to the difference in how it was coded.
The clinic said they couldn't change the coding because it would leave them open to being charged with fraud.

I hate our healthcare system.
 
My wife was due to have a colonoscopy a couple years ago - a procedure that was supposed to be covered on my insurance if it was for preventative care.

She was having some stomach troubles, and her Doc recommended a colonscopy.

We ended up getting slammed with the cost of the procedure due to the difference in how it was coded.
The clinic said they couldn't change the coding because it would leave them open to being charged with fraud.

That's a bunch of crap. Things get coded incorrectly all the time. If one coding error would truly open them up to fraud charges, it's probably because they already have a history of coding shenanigans.
 
That's a bunch of crap. Things get coded incorrectly all the time. If one coding error would truly open them up to fraud charges, it's probably because they already have a history of coding shenanigans.
Yeah, they lied to you, Slab - when my wife worked in medical billing (until 2022) they altered codes all the time in order to maximize benefits. Literally multiple times each day.
 
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That's a bunch of crap. Things get coded incorrectly all the time. If one coding error would truly open them up to fraud charges, it's probably because they already have a history of coding shenanigans.

Yes! We have to change or add codes all the time and refile for procedures, chemo, etc.

Not too mention... they will limit colonoscopies to say every 5-10 years for prevention... but they should be covered if you are having problems.

This sounds like someone didn't do their job.
 
What is everyone's opinion on RFK's desire to ban pharmaceutical ads from television? I had forgotten about that, but people are talking about it again on Twitter this morning.
 
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What is everyone's opinion on RFK's desire to ban pharmaceutical ads from television? I had forgotten about that, but people are talking about it again on Twitter this morning.
I am heavily in favor of this but the media lobby is really powerful and this would absolutely decimate their advertising revenue, especially the news shows.
 
What is everyone's opinion on RFK's desire to ban pharmaceutical ads from television? I had forgotten about that, but people are talking about it again on Twitter this morning.

Absolutely not.

Where else would my latent black humor kick in every time I hear the speed-reading side effects. "May cause sudden death" for example. :D
 
Absolutely not.

Where else would my latent black humor kick in every time I hear the speed-reading side effects. "May cause sudden death" for example. :D
I listen very hard to those side effects, too. Yeah, the Micro-Machines guy wasn't available, I guess, so either they found a good replacement or they are playing it back at high speed. I'm still waiting to hear the commercial for a cough medication that causes anal prolapse, toenail fungus and cigar burns. I'm already hard at work writing the jokes.
 
I have been away from Big Pharma for over 10 years, but during my 11 years @ Merck, we were paid really well, 10-15% bonuses, great pension (plus 401k), Cadillac health insurance, non-formulary drugs were $15 or less. And yet the CEO would call a worldwide town hall every time Congress mentioned anything about healthcare reform.

Every time I read about Big Pharma's production costs, I'm reminded of how much money they make.
 
New one for me today. About 2 weeks ago I had my lower left furthest back molar extracted. It started out a year ago as a root canal. My first ever. What (I guess) no one knew is that tooth was fractured. So for the past year.....I've had this uneasy feeling on that tooth - at times a bit painful, but mostly something just didn't feel right.

Things came to a head 2 weeks ago when I had finally had enough and had my dentist do the extraction. This, after they figured out it was fractured.

OK whatever. At 70 years of age, losing one of your teeth isn't the end of the world, considering what others have gone through at this age!

The problem is.....after a couple days I couldn't open my mouth as far as normal without pain on that left side.

Turns out, according to my dentist today, I have a condition called "Trismus".

Supposed to go away after a short period of time - but meanwhile I'm taking Tramadol and am on soft food diet (again).

 
New one for me today. About 2 weeks ago I had my lower left furthest back molar extracted. It started out a year ago as a root canal. My first ever. What (I guess) no one knew is that tooth was fractured. So for the past year.....I've had this uneasy feeling on that tooth - at times a bit painful, but mostly something just didn't feel right.

Things came to a head 2 weeks ago when I had finally had enough and had my dentist do the extraction. This, after they figured out it was fractured.

OK whatever. At 70 years of age, losing one of your teeth isn't the end of the world, considering what others have gone through at this age!

The problem is.....after a couple days I couldn't open my mouth as far as normal without pain on that left side.

Turns out, according to my dentist today, I have a condition called "Trismus".

Supposed to go away after a short period of time - but meanwhile I'm taking Tramadol and am on soft food diet (again).

Mouth pain is aggravating and seems omnipresent when one has it. Thinking about you and hoping things are much better very soon, my friend.
 
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