I need medicine. What do I do?
I am disabled & housebound. I have a degenerative spine disease & other conditions. I've been on SSDI, paying monthly premiums & Medicare D [AARP Preferred RX--bunch of CRAP]. They have increased premiums every year -- first year I am recieving a lot less....But BIG Problem is that Medicare D has removed 3 of my medications from it's formulary. I CANNOT be without a maintenance medication...but Optum RX has denied my doctors request twice. I am having severe painful random muscle spasms from butt down to toes, 24/7-any time. The Rx Medicare D has records of my always being on a muscle relaxant, since I have bilaterally compromised nerve roots at L5 and C6. Their doctors have refused my PCP's 2nd request, and OptumRX is putting me in medical jeopardy. I'm too scared to get handicap taxi to doctor, and what good will it do? Do I need to get medical legal aid? I am stressed, and without the medication, I am in acute pain when spasms occur-and must deal with chronic pain from degenerative Spine Disease. All my regular doctors & rheumatologists have retired. I desperately need cortisone injection, and what do I do (I'm on extra help -- they pay for all the very cheap meds -- yet the huge increase in Medicare D shows that the plan barely pays anything for .90% of my medications. Holy Cross ignored me about my medications, and secretly lowered the dose of my seizure medication (they only gave me 1 of 2). The exact day I was to be discharged, I had 1 or 2 (do not remember, but roomate does!) Gran Mal Seizues--Right in front of H.C,'s Dr. Lemna. They ignored my medical routine. Now, I desperately need Metaxalone or some generic, but Rx coverage is refusing ... I'm afraid to go to bed -- I'll be waken up by severe muscle spasms in toes, calves, hamstrings, buttucks ... but Optum RX has denied REQUIRED Maintenance Medication. I'm in pain. What do I do?