So, they lied to me in February. Or rather, misinformed me. The 8% Crinone is not covered with prior-authorization, the 4% is... and it does us no good. My clinic is currently trying to get Endometrin pushed through with prior-authorization. There are a few reasons I am not a happy camper about this. I don't really feel comfortable switching to this, I've never used it, I don't know how my body will process it. Furthermore, it's twice a day instead of once a day... which means it's not the same strength as the Crinone. I had told them that if we can't get Crinone, I'd rather switch to PIO injections... but they seem really against letting me do this. Why? I don't flippin know! but you better believe I'm bringing it to my doctor on Monday... assuming everything looks good on the ultrasound.
Depending on the tier of coverage (which I can not see on the website, because Endometrin just says "not covered") it would be way more expensive than PIO injections anyway. I don't know how strong Endometrin is, but I'd rather switch to something I know will work good than risk downgrading my progesterone and risking spotting, bleeding, or a miscarriage. Not to mention, what if I pay for this vaginal supp then start bleeding from a SCH- I'd then have to turn around and pay out the ass for PIO OOP and risk not having the money.
We're still waiting to see if I'll need prior-authorization for my Lovenox (generic) because I've talked to two reps now and they've given me conflicting stories. It looks like they might have quantities limited to 28 days for a month, then require prior-authorization for more. I don't know, and I just want to throw something because I am so frustrated and just so DONE with this insurance company.
My husband's work changed because this new insurance was "cheaper" well, I tell you what, it SHOWS.
I guess we'll know Monday what's going on. With, well, everything.