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TTC and Beyond!

What the heck kind of insurance do you have???? That is so stupid!!!! I've never heard of that happening before. So stupid!
 
No. I wasn't there. Hubs stopped to see what he could do. They just a paper that said it was denied. He said 30 pills was $200. He bought me 9 for $40. I just don't get this at all. I'm so pissed.
 
I have bluecross blue shield. It's great insurance!! I don't even pay co pays. This is so pissed. I'm wondering if it's because it's not a generic??
 
It's honestly rediculous. I'd be on the phone with the insurance company if I were you! Hopefully if they get it straightened out the pharmacy can give you the balance of the script and your money back!
 
It comes in a generic britt, maybe that's why? Did you specify that you didn't want the generic?
 
No! I don care if it's generic! That must not be what they called in. I will know more tomorrow. That's probably what it is. Grrrrr
 
It should be medically equivalent and is also category B. did you try to tell the pharmacy the generic was okay so they could try to run it through the insurance that way? They can always give you the generic, but sometimes prescriptions need a "bran name medically necessary" authorization to get the brand name. I hope you get everything figure out, it was super nice of hubs to at least get some and not just leave empty handed!! Feel better Hun!
 
I really hope it works out for you Britt...That really surprises me. Definitely call and get it sorted out.
 
Thanks Kara! I will have to call the OB tomorrow and ask if they can prescribe a generic. Or can I jus go back to the pharmacy?
 
You should just be able to call the pharmacy and ask them to run the generic through the insurance. Unless your doctor wrote "brand name medically necessary" on the script. Then they will have to re write the script. Spent 8 years in a pharmacy, haha, happy to help!
 
So weird, this morning I tried to post on here but it didn't seem to work :? I woke up this morning and my left side of my abdomen was SO sore! Really tender to the touch especially next to my belly button. Felt like I did way too many crunches but only on one side? It went away eventually, but was wondering if any of you experience something similar.

I want to try and breastfeed as long as possible but most likely I'll go back to work very soon after birth since I don't have paid maternity leave. I'll probably be pumping. That's if our baby is able to breastfeed, DH and I both were soy formula babies due to sensitive stomachs and we both are mildly lactose intolerant now. So we'll see. Not really sure what we're gonna do about leave time :?
 
Ugh for the last couple of days (since the day I went to the ER/L&D) I've been crampy and having a lot more Braxton-Hicks contrations than normal. The cramping is similar to dull period cramps, down low but my belly isn't getting hard. However with the Braxton-Hicks, it gets hard down low near my pelvis (but not up top.) Some of the cramps were really painful but didn't feel like gas... at least, nothing came out if you know what I mean lol.

Anyway when I was in L&D they had me hooked up to the monitors that read baby's heart rate and monitor for contractions. The doctor asked if I was cramping or having contractions and I told her what I'd felt at that point but she said there was no indication of anything on the monitors. But the monitor they used to measure contractions was placed at the very top of my belly which is nowhere near where I feel the cramps or where the BH make my belly get firm. I don't know if that makes a difference but I know what I'm feeling.

She checked my cervix and it was high, firm & closed but these cramps are annoying and at times, painful. I'm not quite sure what to do about it since L&D already told me they didn't register anything on the machine and they all seem to think I'm paranoid and making stuff up anyway (said my UTI was just a pulled muscle when I know it's not...)
 
Britt - is it the kind that melts on your tongue or that you swallow? I don't understand why you would need a prior auth for it. I can't think of what would be their first line choice if zofran needs a prior auth. Makes no sense...

Amanda - I think that is a very smart, responsible decision to postpone. Makes a lot of sense. No clue on the cramping as the baby/pregnancy world is not my forte but it sounds like they checked everything out to make sure it wasn't anything bad.

I plan to take off 8-12 weeks. Depending on how I feel when it's time to go back. I have to use vacation and sick time for my leave but I also have std that kicks in after 7 days and is on top of my leave pay. I think it's only $600 a paycheck but it's extra money so I can't really complain. I tried to increase it since I make a lot more now but can't cause I'm preggo. I set that account up 4 years ago but never increased it when we started TTC. Oh well. As far as the bf topic, I plan to pump. I got a nice Medela pump in style from a friend. Not to keen on the baby sucking off my boob idea but that may change. It just freaks me out. Totally gonna milk these suckers though. It's free! And good for baby.
 
Britt thts crazy...I have blue cross blue shield too so I defenitely know tht they do cover zofran bcos I got mine...i say call them
 
Ashlee- I had the SAME thing yesterday morning!! I told DH I was going to call the OB, but after a yogurt and some relaxing it went away on it's own. It was a SUPER tight stabbing pain low in my left side, hurt to walk. I had to hunch over just to walk into work.

I was mad bc I knew if I called the OB they'd chalk it up to "normal pregnancy pains" and I had NEVER experienced anything like that with Jaxon. But since it went away maybe it really was just some round ligament pain?! Hurt much worse than I imagined though!
 
Rachel - yes. that's what kind it is..

after looking at the bottle this morning, they did give me the generic, so now i'm worried that they won't even cover the generic?? Hubby had to pay $40 for 9 pills, so it doesn't sound like anything was covered. I just don't get this. Who do I call and complain to? the insurance company?
 
I think you got what I have... Little silver push pack- they say "Ondansetron Orally Disintegrating Tablet 4mg?"

They work wonders but mine are ALWAYS FREE... Deffo a prob there.. One a day should fix you right up but I'd call and complain to the insurance if it should be covered, which it sounds like it should have been!
 
Morgan - mine didn't come in a push pack, but maybe that's because they only gave me 9. Also they gave me 8mg and not 4... just noticed that this morning too.

I took one last night at like 8pm and I still feel golden this am. Of course this will be what works for me and i'll have to pay and arm and a leg for it. I have to go to work in 20 minutes. I don't have time to fight with my insurance company on the phone, especially because no one at my office knows i'm pregnant. This is where it's tricky.
 
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Britt I know you're dealing with all this BS at the moment haha.. but when you have a moment can you look at this list of Baltimore restaurants and recommend the best one to me? I want to make Thanksgiving reservations but they all look so good and I have no idea what to choose! We are downtown too (the Hilton), so need walking distance from the stadium, or at most a taxi drive.. THX! :)
 

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