Has anyone had any luck getting their insurance to cover oral Zofran to take on a regular basis?
I am on Medicare and Medicaid, and have been having trouble getting them to cover the oral form of the medicine for gastroparesis. They will cover the IV form that I get once a week during IV Hydration Therapy, but I don't understand why they won't cover the oral form.
I'm having trouble with 3 of the side effects of Reglan: rapid weight gain, fatigue, and breastmilk production (even though I have never been pregnant). I have gained over 35 pounds since I started taking Reglan in April, despite being on a strict diet and enteral nutrition. I was 203 lbs. when I first got my feeding tube in Feburary and started on enteral formula at night. I am pretty muscular in my upper body due to using a manual wheelchair and playing wheelchair sports often. I have a total of 1,300 calories daily, through a combo of solid food and enteral formula, that my dietician has planned out for me. She doesn't want me to get too big, but also doesn't want me to lose weight fast like I was doing before I got my feeding tube and in the hospital often.
How do I go about getting "special approval" for the oral form of Zofran, so I can possibly be switched off of the Reglan. I've heard this medicine is very expensive.