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Imitrex as a street drug? (Read 1055 times)
nathan w
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Imitrex as a street drug?
Feb 20th, 2020 at 6:28pm
 
Is anyone else having this problem? My insurance will no longer fill my imitrex (I take nasal spray and auto injections) because according to them I have gone over the allowed amount.  As I'm sure alot of you know,  you only get 6 doses in a box of nasal spray and 2 injectors per box. Currently I am getting 2 clusters a day (so...6 divided by 2..carry the stupid prior authorization) ...
Anyhoo..I called my insurance company today and they said even with the prior authorization in place I was still getting it filled too often  and they couldn't fill it early.  Is imitrex the new cool street drug and no one told me?
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AussieBrian
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Re: Imitrex as a street drug?
Reply #1 - Feb 20th, 2020 at 9:27pm
 
I know of certain Aussie Clusterheads who are attacked at different times of the year but continue to collect their Immigran scripts while not on heat so as to share with those who need them.  Later in the year the trade goes the other way round.

This is dreadful behaviour and I can't condone it for a moment!

There's another Aussie  (sensationally good-looking and a wonderful lover)  who no longer needs his scripts at all but continues to have them filled and mails this contraband to ClusterMates in trouble all around the country.

This is unconscionable and brings shame upon us all!  It's immoral!!

Happily, I believe the US medical system to be perfect,  because the politicians there say it is,  so this level of street trade will never be necessary in the land of the free.

I mean, what next!  Buying Oxygen set-ups from the welding shops?




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My name is Brian. I'm a ClusterHead and I'm here to help. Email me anytime at briandinkum@yahoo.com
 
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jon019
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Re: Imitrex as a street drug?
Reply #2 - Feb 22nd, 2020 at 1:46pm
 
.....short of a LONG commute to vicariously enjoy Brian drinking a beer......search around for the Imi in vials (5 x 6 mg) which along with some skinny insulin needles got me 15 aborts per script (2 mg worked fine...6 was too big a hammer)... or hack the statdose to get multiples per....

....every time I hear these are no longer available (distressingly frequent) I search again and there they are.... or see reports of others still using...some day they will be gone, but I don't think yet....

....one wise neuro got me 2-3x normal script with a flaming "letter of medical necessity" (DIFFERENT than a prior auth) which the evil health insurance companies are (alas...maybe were?) loathe to dispute... cuz that would be practicing w/o a license...

...her other strategy was to give me scripts for TWO different triptans (Zomig NS and Imi) at the same time...same cost to the insurance company as twice the amount of one.... but it flew right thru. CAUTION...must wait minimum 24 hrs between uses of different triptans....

best

j
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austindh
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Re: Imitrex as a street drug?
Reply #3 - Feb 23rd, 2020 at 9:20am
 
I don't know if the OP is in the US, as I am. One can search these forums under "goodrx" for some interesting threads.

Just because the ins co. will only "pay" for 9 sumatriptan tabs/mo.,  does NOT mean that it's unsafe use more, or that you cannot buy more due if you medcially need more. The #9, according to my neuro, was the outcome of some early triptan research, and has since been long superseded. But the ins co. is allowed to base its coverage on the outdated studies. Which fulfills their goal of paying out less to you, or paying for less than you medically need. Surprise!

Not all MD's or pharmacies understand this. I will be blunt, if your doc or drug store doesn't understand, find another one.

My insurance will "pay" for 9 sumatriptan tabs with a $10 copay per month. My neuro wrote me a scrip for 27 tabs, with no limit on how often I can refill. The 27 tabs currently cost me about $23 cash, using a goodrx coupon. Cheaper to buy for cash, maybe a lot cheaper depending on your copay. And I get what I actually,medically need.

The auto-injectable form is still rather expensive at the cash price, but you can purchase the form in vials to bring the price down quite a bit. The needles are not very expensive and you can buy the diabetic type (see other threads) with a short, thin diameter needle that make the injecting pretty easy. But you would need a scrip for that form of the drug, and for the frequency of refill you really need. So you need a doc who understands both your medical needs, as well as how the insurance/coupon system works.

Repeat: If you don't have a provider who understands all this (it should have been explained to you already IMHO), they are ignorant and/or are allowing the ins. co. to practice medicine. In that case I'd find another doctor who is a boarded headache specialist and discuss this matter at the first visit.

On the safety of triptans, see Dr Mauskop's searchable blog at nyheadachedotcom.

Smiley


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« Last Edit: Feb 23rd, 2020 at 9:21am by austindh »  
 
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