HER2 Support Group Forums - View Single Post - Insurance Company Does Not Want to approve TYKERB

Carolyns · 10-23-2009, 11:00 AM

Hi Sheila,

I hope that you are getting somewhere with this fight.

Please forgive me if you have already gone into this but can you please explain why they can prevent your doctor from prescribing Tykerb alone?

You said, "OK, today is day 9 since Tykerb was ordered, the insurance company, BCBSIL and CVS/Caremark is not wanting to approve because it was not ordered with Xeloda.....

I know this is happening all over the place (because it happened to a friend of mine) but what is the justification for saying no if Medicare approves? Is it because it is an oral drug. My heart breaks for you in this fight (it is SO WRONG) and I am not sure if others realize what a big problem this is becoming for us. Understanding more may help us be better advocates.

Love, Hope, Peace, Carolyn

10-23-2009, 11:00 AM	#75
Carolyns Senior Member Join Date: Jun 2006 Location: South Florida Posts: 477	Re: Insurance Company Does Not Want to approve TYKERB Hi Sheila, I hope that you are getting somewhere with this fight. Please forgive me if you have already gone into this but can you please explain why they can prevent your doctor from prescribing Tykerb alone? You said, "OK, today is day 9 since Tykerb was ordered, the insurance company, BCBSIL and CVS/Caremark is not wanting to approve because it was not ordered with Xeloda..... I know this is happening all over the place (because it happened to a friend of mine) but what is the justification for saying no if Medicare approves? Is it because it is an oral drug. My heart breaks for you in this fight (it is SO WRONG) and I am not sure if others realize what a big problem this is becoming for us. Understanding more may help us be better advocates. Love, Hope, Peace, Carolyn