Hello, My grandson has to take Valcyte because of CMV . The first prescription was given by the hospital pharmacy and reimbursed by the Medical Insurance. Hello, unfortunately the insurer is closed until August 8. Do you know if this medication requires a special form to be completed? There is no generic Ahhh that's what I would think. So, the CHUL infectious disease specialist must complete the form and send it to the Medic. See attached Thank you very much for your explanations. it reassured me that the medication will be reimbursed It is just an administrative error have a nice day 😌

Is the Valcyte covered by insurance?

62-year-old woman2 years ago

Hello, My grandson has to take Valcyte because of CMV . The first prescription was given by the hospital pharmacy and reimbursed by the Medical Insurance.

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Naji-tom Samaha · 2 years ago

Hello, ma'am,

Did you ask the pharmacy that served the product and then your insurance company? Did you take the brand name product (Valcyte) or the generic? Your insurer may not cover as much if it is the brand name product for example.

If you upload a picture of your complete invoice, I could take a look at it, or if not, you'll have to check with your insurer and the pharmacy.

62-year-old woman · 2 years ago

Hello, unfortunately the insurer is closed until August 8. Do you know if this medication requires a special form to be completed?

62-year-old woman · 2 years ago

There is no generic

Naji-tom Samaha · 2 years ago

Thanks for the feedback!

Indeed there is no generic for the oral suspension. The drug is listed as an 'exception drug', which means that the prescriber usually has to fill out a form and send it to the insurer to justify the use of this drug.

Generally in this type of situation, the insurer will have to send you this form and the prescriber will have to fill it out afterwards.

62-year-old woman · 2 years ago