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Toddler Reflux/GERD moms

So my son was on Prevacid last yr. It did really well. They did up him up to 30mg (solutab) last yr. Well we got new insurance (husband started a new job) and so they decided they wouldn't cover the Prevacid at all and wanted us to use the prilosec. So we did, and he is on 20mg a day. Well we are still having issues so they gave him zantac at night (4ml). Still having issues.

Do you think it would be better if he was back on the prevacid? What has your experience been?

The doctor can fight insurance on it, but that can be a pain which is why they decided to try him on the prilosec.

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Asked by Mipsy at 2:59 PM on Oct. 27, 2010 in Toddlers (1-2)

Level 16 (2,349 Credits)
Answers (1)
  • OK,background info first.....
    There are tiers to Drugs-- $ to $$$$. The insurance companies are out to make money that is why they won't pay for some medications. When new medications come out they have a patent which means a Generic is not yet available. Prilosec is no longer under a patent making it more desirable to the insurance company. However not all drugs work for all people.

    I worked in a clinic, you are not alone with this problem. I do not consider it a pain to fill out a form. The the paperwork is a Prior Authorization Form. All they need to do is look in your son's chart, record the medications you have tried with dosages and their inability to control his symptoms. Then submit the form(it is usually 1 page). With most records being electronic now, it should not take long.

    You know your child.....if it bothers you....I would fight for the medication that worked best, not add more.

    Answer by jtcr4boyz at 12:02 PM on Oct. 28, 2010

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