americanmike

Anybody Taking Prilosec? I Need Advice.

26 posts in this topic

Hi Mike,

 

I take one Prilosec in morning and one at night just because rheumatologist told me to take it that way and it works for me. I have no heartburn but I still do occasionally have night time reflux - maybe 3 x in the past 3 months? I think it's because I either ate something I shouldn't have, didn't have a totally empty stomach before I went to sleep, or I had the nerve to actually want to sleep lying down for a change! :o

 

Take Care,

Barefut


Take care,

Barefut

 

Serena Justis

ISN Blogger

International Scleroderma Network (ISN)

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In reading this thread I realized that I may be able to get my insurance to pay for part of my Prilosec - couldn't I? As long as it is prescribed by my doctor right? I never thought to ask about coverage for prescribed meds off the shelf.

 

Then again is it considered a "prescription" if it comes off the shelf? Or is it only a "prescription" if it comes through the pharmacist? No matter where it comes from, doc says take it - you need it, so what's the difference?

 

I'm sure my insurance company will find a difference!

 

It's late and I'm rambling here I know - okay :blink:

 

Good night.


Take care,

Barefut

 

Serena Justis

ISN Blogger

International Scleroderma Network (ISN)

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Barefut,

There is a slight difference in the prescribed and the over the counter prilosec. I don't know exactly what the ingredient is or if it is just slightly stronger. It might just be a higher milligram. There is a difference. If you get a prescription from your doctor your insurance should cover it, if it usually covers your prescriptions.

You could just switch to Nexium and get a lower prescription. Get 20 mgs instead of 40 milligrams. Just a thought. Sheryl


Strength and Warmth,

Sheryl

 

Sheryl Doom

ISN Support Specialist

(Retired) ISN Chat Moderator

International Scleroderma Network (ISN)

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Hi Barefut,

 

Years ago my friend used to get an OTC antacid by prescription, but you know how insurance can chance through the years. She was on Medicaid, and they still might do that, but most of the other insurances won't pay for an OTC now if the copay would be about the same amount anyway. Go ahead and ask though since you might be able to get it with your insurance. And a good morning to you, and hope that the day is merciful to you!

 

Warm wishes and a hug,

Elehos

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I checked with my insurance last year about covering Prilosec and it was a big NO. Absolutely no OTC's. But then every insurance company is different. Any prescription substitute had to be justified by the doctor, but even then the cost my co-payment was equal to what I was spending on Prilosec. So go figure.

Because I do have a written prescription for Prilosec, I do deduct the cost as a medical expense on my taxes along with all my many other expenses. I just keep the prescription tucked away in my file just in case I get audited.

Big Hugs,

Janey


Janey Willis

ISN Support Specialist

(Retired) ISN Assistant Webmaster

(Retired) ISN News Director

(Retired) ISN Technical Writer for Training Manuals

International Scleroderma Network (ISN)

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Janey,

 

What MG is the prescription written for? I take 40 mg 2x a day and because the RX kind comes in 40 mg its covered. I would try again and appeal the insurance saying no to this much needed med! This is a big monthly experience for people and unless you don't have insurance I do not see why they fight it when it is also an RX.

 

Let me know what happens on this.


Hugs,

Patty

 

If Life hands you lemons, make lemonade.

 

Hashimoto's thyroiditis, Limited scleroderma, Dermatomyositis. Diastolic Dysfunction, dysphagia, Fibro, restless leg. Lupus is a maybe.

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Hi again Barefut,

 

I was just reading a post (Patty's?), and it's true that you can argue with the insurance company! At one point a few years ago I needed a particular narcotic pain killer and found that the time release pills were limited to 2 per day regardless of the mg. I preferred to get 4/day in the smallest mg. strength so I could adjust the dosage by need instead of being stuck with 2 stronger ones which couldn't be chopped, and the pharmacist told me to call my ins. co. At that point they gave me an override without the doctor's paperwork, probably because I was arguing for being able to take less when needed. They probably never got a call like that before. If there is a reason for needing a particular prescription, like the difference between OTC and Rx Prilosec, you can get a doctor's override, or just badger the ins. co. like my husband did for me (lol). I do hope it works out for you!

 

Best wishes to you,

Elehos

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Hi, hope this helps, looks like you have a lot of advice already but I have sclero and the esoph problems everything from swallowing difficulty to the acid reflux/gerd, I do sleep at slight elevation but not too much. I have tried prilosec, prevacid, protonix (bad side effects from that one) and now I have been on aciphex for a long time and it's awesome, I take it one time a day, in the am with my morning meds and it lasts all day and night, other than the problems that nothing will help anyway, no pill does it all I guess, but this one definitely did the trick. I take the 20mg pill. Just to share what worked for me, hopefully you can find some relief. Lori

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Okay, so I just found out there is a generic of Prilosec so I called my general practitioner to have him call in a prescription for it.

 

My insurance has a $10 co pay for generic meds, a big difference from paying $45.00/mo for 30 days of Prilosec 2x/day.

 

Why didn't I look into this sooner? Mush brain. :blink:


Take care,

Barefut

 

Serena Justis

ISN Blogger

International Scleroderma Network (ISN)

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Ya Gotta love Generic Meds! When your taking lots of meds, like I am it adds up quickly!


You can deprive the body but the soul needs chocolate

my HMO makes me wear a helmet...

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Okay, my last words on Prilosec.....the surgeon who removed my gall bladder told me that the Prilosec I was taking at the time has a possible side effect of abdominal cramping and loose stools.

 

Incidentally, there are NO possible side effects listed on the package. My surgeon said that most people don't know this about Prilosec. (maybe that's why! :rolleyes: )

 

He brought this up to me because I was still having cramping and loose stools 6 weeks after surgery. He said that 6 weeks is a normal recovery time but if it continued, even with acidophillus, then he wanted me to stop the Prilosec for awhile to see if that was causing it before he went back in surgically to look around. This was 8 months BEFORE my Diffuse scleroderma diagnosis - so now I assume my GI problems are that.

 

Has anyone else ever been told of this side effect from Prilosec? When my surgeon said I may have to go off it I was a little concerned because there's no way I can survive without it! Heartburn and reflux too, too bad.


Take care,

Barefut

 

Serena Justis

ISN Blogger

International Scleroderma Network (ISN)

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