I went to the pharmacy to fill my loved one's prescriptions upon release from the hospital, but the pharmacist explained that the drugs need to be authorized and that I might have to pay full price - what does this mean, and what should I do?
Some medications are subject to prior authorization as established by one's insurance plan. These medications require verification by the physician who prescribed the medication that the patient meets prior authorization criteria, and then an authorization from the benefit plan before the medication may be dispensed. You should contact your insurance plan for a list of drugs requiring prior authorization. You or your physician may also appeal a denial of a drug or a quantity limitation by contacting your insurance plan.
My loved one was recently put on a new medication and I am worried that it may be making him or her worse - who should I talk to?
We encourage patients and family members to talk with their doctor about any medication-related questions or concerns they may have.
Where can I go to find information about the medication that my loved one is on?
You can talk with your doctor, or you may want to contact other knowledgeable professionals, including your local pharmacist, pharmaceutical companies, or reputable mental health care organizations (such as NAMI or NMHA). Pharmaceutical and mental health organization websites may also be a good resource. Also, at the Nathanson Family Resource Center, we have a number of books and binders regarding this subject: PEDI_PALS and LEXI-PALS Adult and Pediatric Patient Advisory Leaflet System, as well as other printed materials from the American Psychiatric Association.
My loved one was placed on a medication while in the hospital and was then released. I know that they say to give it time, but I'm not seeing any positive changes. How long does it take for a medication to reach its full impact?
Again, it is important to talk with your doctor about your medication-related questions. Many factors may affect the time it takes for a medication to take effect, and your doctor is the most suitable person to answer these questions.