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Went to pick up sons epipens today and found out the insurance is saying they will just cover one at a time. His old ones expired (different insurance company-they covered two but only $5 of it-I had to pay $110). This insurance covered all but $5 but only pays for one. Would you buy the second one just in case?

------------------ Lalow James 3yrs, NKA Ben 2 yrs, PA and MA and SA

On Apr 30, 2005

lalow, sorry, you're not being clear to me anyway. Are you totally out of Epi-pens and need two right away even though the insurance will not cover one again until I assume next month at the same time?

Do you not have a second Epi-pen that you can use for back-up right now?

My insurance only covers one Epi-pen per month. So, what I have to do is check the expiry dates. Say I have four that expire in September month. That means I have to start to buy them four months previous to September (well, I don't buy them, but getting a prescription for them and submitting it). So, it would be May month actually if ALL Epi-pens were expiring in September month that I would start to get the four I require. KWIM?

Or, is it because the prescription was written for two Epi-pens?

I'm sorry I'm simply not clear. [img]http://uumor.pair.com/nutalle2/peanutallergy/confused.gif[/img]

Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

On Apr 30, 2005

Sorry, you said "one at a time". Does that mean you can get the second one tomorrow? What is the time frame difference? They will only cover "one at a time" but how often can "one at a time" be?

Can I say, just for the record (as if this is one [img]http://uumor.pair.com/nutalle2/peanutallergy/wink.gif[/img] ), that I think it is wrong to only cover one at a time, because one really *should* have two at all times? The night my son almost died, so many years ago now it seems, and yet so close, we should have had a second Epi.

It bothers me that my plan only covers one a month, but hey, it covers it, so I'm not complaining, but it does require some planning as far as expiry dates.

But I do think they *should* cover two at a time.

Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

On Apr 30, 2005

I don't know if you're in Canada or the U.S. but in February I had a prescription filled for duo epi-pens. I have a $2500 deductible and very minimal coverage for precriptions. (10-20% off) I paid $88 for 2 epi-pens. If you're in the U.S. have you tried getting a quote from another pharmacy?

On May 1, 2005

I would get the second one - but I would also check how often they will cover *just one*.

Years ago my insurance company decided they were not covering epi-pens at 90%, instead they would only cover them at 50%. I still bought two for me and two for my son. They are now being covered at 90% again - thank goodness.

On May 1, 2005

When I first was buying epi pens the pharmacist said that my insurance would only cover one a time. Then I got a presription for a "dual pack" epi kit, it has two epi pens and a trainer. My insurance had no problem filling these scripts. Go figure. Ask your pharmacy if they can fill a dual pack. Worth a try.

Good luck,


On May 1, 2005

I think she wrote the perscription for one epipen with two refills.. instead of for two epi-pens. I think what i will do is call for a refill next week and see if they will refill it. The two epipens I had expired at the end of the month.

------------------ Lalow James 3yrs, NKA Ben 2 yrs, PA and MA and SA

On May 1, 2005

I would definitely get the second one, even if you have to pay full price. You can`t put a price on your child`s life. I always have at least three or four.

On May 2, 2005

Hi, the same thing happened with us. We had a prescription for dual pack times 2 and they would only fill one. They said insurance would fill the other in one month so I marked on the calendar when I could call for refill. I kept one expired and one current epi-pen at home and the same in our "travel" bag until I got it refilled. Good luck, Colleen

On May 3, 2005

Carefulmom, no, you can't put a price on your child's life. Do you know what my MIL asked me a couple of times now (and once was recently so that's why it's bothering me again).

And this is with me having 100% coverage but only being able to fill the prescription once a month.

"How much does that cost a year?" (Well, to me, nothing, but she wanted to know the cost of 4 Epi-pens per year - so just over $400.00). "Do you have to have that many?" (Yes, and explanation of why).

But I couldn't even comprehend why she was saying ANYTHING. First of all, I don't even pay a co-pay on my prescriptions. Mine are 100% covered and I think, except for when DH was in college and we had a deductible, we've never had a problem having to pay for prescription drugs. It wasn't like we were asking her for financial help to pay for them.

Yet, it was okay for her to go through her prescriptions with me the other day, to find out that if she didn't have the drug coverage she has, she would be paying about $2,000.00 a month for the medications she takes.

Sometimes people say the most bizarre things.

Best wishes! [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]