What were the names of Snow White’s seven dwarfs after being prescribed Paxil, Ritalin, Prozac, Lithium, Provigil and Benadryl?

Dwarf, Dwarf, Dwarf, Dwarf, Dwarf, Dwarf and Doc.

P.S. - the Michigan and New Jersey pediatric Medicaid Rxs that I mentioned are an average 12% of the CMS total (all patient ages) for these States, that’s why I use 12% as a pediatric estimate for the other States on the http://www.psychdrugdangers.com/US/MedicaidPayments.html State listings.

Can you explain to me how the Medicaid payment claim line works?

Say a pediatric patient comes to a pharmacy (with a parent or guardian, of course) with an Rx for Abilify. The Indication was ADHD, but that’s not written on the Rx (I assume).

What steps does the pharmacy go through to get reimbursed by Medicaid? Or does it get pre-authorization from Medicaid before dispensing the drug? Or does it go ahead and dispense the drug because the patient is covered by Medicaid and then worry about reimbursement?

When and to whom does the psychiatrist need to explain why he/she prescribed Abilify for ADHD for which Abilify is not and never has been covered? Does the Indication ever come up?

It would seem that in a case like this that pre-authorization from Medicaid would need to be obtained before dispensing the drug. And since Abilify is not covered for ADHD, it would seem that the drug should never get dispensed, and yet it does over and over again.

Who’s dropping the ball? It seems it would be someone in Medicaid who is approving the claim for a drug that is not approved for the Indication and has never appeared in a compendium for that use.

I have exact dollar amounts for Michigan for 2005 at http://www.psychdrugdangers.com/MI/MichiganMedicaid2005.html which is for all psychiatric drugs, and the exact amounts for New Jersey for antipsychotics in the Pharmalot article at http://www.pharmalot.com/2008/02/nj-legislator-probe-antipsychotics-kids-medicaid/.

I know a few people who have been prescribed anti-psychotics and none of them were “psychotic” .. (actually they they were all very good people, just being human)

One friend was a bit moody, so they diagnosed her with bi-polar, and prescribed an anti-psychotic..
Another was angry , mostly just pissed off with his job and his life situation, he was offered an anti-psychotic, but thankfully he declined ..

Another guy I know was having trouble with deciding what to do with his life, his parents wanted him to go to college, he wanted to busk and play his guitar, they had a row, his parents drag him to a psych and he gets prescribed Risperdal for a year, had awful side effects like tremors and tics.. He came off it, thank god, and he does yoga now to balance out his energyand calm him down.. he doesn’t need meds, he never needed them.. he was just duped like a lot of people are…

Do people not realize that the anti-psychotics are just another pharmaceutical-psychiatric scam?..

It is just another way for them drug emotions and feelings..
Is you’re too happy, you must be manic!
If you’re sad, you must be clinically depressed!
If you’re shy, you’ve got generalized anxiety disorder..
If you’re moody and sensitive, you’re Biploar!
If you’re losing the plot because the world is crapping on you from a height… you must be psychotic!

Psychiatry has the whole spectrum of human emotions almost covered now..

They are despicable , but if there is anything thing I do admire about psychiatrists it is their audacity and their amazing ability to pull of scam after scam …

They are the snake oil merchants of our times..
They laugh their way to the bank while the patients bawl their way to the morgues..

Surreal..

It’s specifically defined in the federal statute. It has to be FDA approved for use OR supported by specific compendia

I believe the word “for” should be “or”:

“It’s specifically defined in the federal statute. It has to be FDA approved for use supported by specific compendia.”

Thank You, I apreciate the two of you taking the time to explain this to me.

As Mr. Stallard stated these are the 3 drug books (compendia - plural of compendium):

American Hospital Formulary Service Drug Information

United States Pharmacopeia-Drug Information (or its successor publications)

the DRUGDEX Information System

So simply - for reimbursement to take place, the use of a drug must be supported in one of those books OR must be approved by the FDA.