How to Obtain Coverage for Provigil Through Medicare Part D

Narcolepsy patients

1.

Undergo testing for sleep disorders, if your doctor believes you qualify. Positive polysomnography for narcolepsy is one of the primary diagnoses that can consider you a valid Provigil user under Medicare Part D.

2.

Check the measured parameters, such as blood pressure, air flow and pulse oximetry, that the Food and Drug Administration (FDA) has labeled as suitable for Provigil, if your sleep disorder test is positive.

3.

Talk with your doctor about your condition. Understanding your sleep disorder and the type of medication you should take is most important.

Obstructive sleep patients

1.

Undergo an initial test for obstructive sleep disorder, using polysomnography as prescribed by your doctor.

2.

Provide your treatment history and tolerance to CPAP (continuous positive airway pressure) treatment, one of the crucial factors that must be included in your application file. A history of failure can often exclude you from Provigil treatment as per the terms of Medicare Part D.

3.

Confirm how severe the disease is. It is very important to see whether you are within the worst condition bandwidth for being able to take Provigil. In severe circumstances of sleep disorder, hospitalization may be an option.

Refractory depression patients

1.

Check initially with your physician about other medications, suach as Ritalin and Adderal for refractory depression. Provigil is allowed under Medicare Part D only if those medications have failed.

2.

Produce proof through your medical history papers that monotherapy and combo therapy have both failed to cure refractory depression.

3.

Observe, with professional help, whether you are truly experiencing symptoms of refractory depression, before you consider moving to Provigil for better treatment.

Tips and Warnings

  • Fill your prescription at a pharmacist accredited by Medicare. Ask the pharmacist questions about the safety and efficacy of the drug, with respect to your situation.
  • Failing to comply under the Medicare Part D standards and observations will not allow you to get Provigil coverage.
  • As a result all medical records and history should be well maintained so that you do not miss out on showing evidence, especially if it includes one of the above mentioned requisites.
  • Provigil medication comes with several usage precautions owing to its tendency to have side effects. Certain conditions are reckoned valid under Medicare Part D. Use of Provigil can often qualify as abuse, and be bereft all possible ways of claiming the benefits under Medicare Part D. Typical diagnoses that are considered for coverage under Medicare Part D include sleep disorders, bipolar depression, fatigue associated Parkinson's disease and multiple sclerosis and all other FDA-approved indications. You will need to be diagnosed with one of several diseases to get a prescription under Medicare Part D.