Medicaid and Metadate CD | ADHD Information

My grand-daughter (12 1/2 years old) is on medicaid (due to single mom syndrome) and has been on meds for about 4 years for ADHD.  Metadate CD is the one that worked the best for her; however her psych wants her to take 20 mgs. in the a.m. and 40 mgs. in early afternoon every day.  Medicaid will only pay for the meds 1x per day as they claim their charts on Metadate CD call for it to be given only once per day.  Anyone know a way around this or anything we might be able to do to get them to pay for two x's per day.  Doctor has appealed it and was turned down.  Other than paying for it myself, which of course, if I have to I certainly will come up with it somehow - Medicaid had no problems paying for it in the past, but since they went PPO - it's been a new tune.  Thanks for any advice. LRM21639457.3730092593

I am also dealing with medicaid issues...

I wanted to try vyvance for my granddaughter (it seems to be a very good and poputar medication right now )for Add but they wouldn't allow the prescription.

They said it was too expensive a med. and not necessary.......  But they allow concerta.....said it was

close to it...and you only have to take one tablet a day....different dosages avaiable.....

I am not a dr...but isn't MetadateCD a form of the same medication as Concerta??????   It is timed released....and since you need medication x2

a day.....this is something I would look into...

It might not help or be the same type medication but I should think a Dr.

would know..... Or have a medication close to the one you have.

Or maybe one of the assistance programs could help with cost....they go by

income on most sites.

 

Thanks Mamaou for your kind advice.  She has tried Ritalin and Concerta and the Ritalin made her worse, the Concerta did nothing and the Straterra was excellent but she developed severe bruising and her blood wouldn't clot correctly (Straterra is known for liver problems) so the psych took her off immediately.  The only thing that seems to work is the Medadate CD and leaves her without harsh side-effects.  Dr. is going to try to appeal it once again.  I hate dealing with Medicaid - they are so unfair at times.  Good luck to you and your grand-daughter.

If the Psych rx'd the 40 mgs in the AM, and 20 mgs in the Pm they would probably accept it. Or 20 mgs( or less) regular release

 

Why so much in the evenings?

check old posts for I remember one way back a year that listed companies that make the drugs will help you out in cost try the medication  post section.  good luck Jill Thanks to all.  I didn't mean p.m as night.  She is to take the 20mgs upon waking and then the 40 mgs after lunch while at school.  She is only on the meds for school days.  No vacations or over the summer.  Sorry if I mislead you.  In fact, I might even have the dosages mixed up!  It may be 40 in a.m. and 20 in afternoon.  Not sure, but I do know that 20 mgs. in a.m. and 20 mgs. in afternoon was not enough.  She wants to work her up to 60 mgs. per day next month.