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Tuesday, January 3, 2012

Boost Kid Essentials 1.5 Cal

Julian is no longer getting his boost the way that we've been getting it for the last four years.  Now, his other insurance is giving us a really hard time getting it.  I'm in a slight panic, because we are down to less than one case, about 20 boxes.  That's 4-5 days stretching it out.  We started the process or obtaining a prior authorization (needed to fill the script for the formula) two months before we knew we would need it.  It's now been 4 full months, and it still hasn't gone through.

We've gone by the pharmacy at least once a week that whole time.  The insurance company is now telling the pharmacy that they need a CRN form filled out by the physician.  Mind you, this is after a script for the same thing from both his pediatrician and gastroenterologist, as well as letters of necessity from both of them.  There's nothing left the pharmacy can do, and I undertand that, but I'm upset because my child NEEDS this.  Ryan called the insurance company today, and we are waiting for a call back.

Before this formula, Julian was on a premie formula (he wouldn't latch as an infant, then had massive acid reflux), then a soy formula.  As soon as he was 1 year old, he was put on pediasure.  He didn't gain weight on it, and it was like he could never get enough.  He was put on Boost Kid Essentials 1.5 cal after that, and little by little... he began to gain weight!  Not much, but he stopped loosing weight.  He finally, at 2, got above 20lbs.  He still wasn't on the wight 'growth chart' until he was almost four.  For the last year he has made it to 3-5% (hoovers around there) on the chart for weight.

At one point, for a procedure, he had to go without his boost for 1 day.  He literally lost 1 full pound in that 24 hour period.  Mind you, he wasn't even 20lbs at this point.  It took three months to gain that weight back.  So, you can see why I'm scared that he might be going without it for ANY period of time while we figure out how on earth to pay for this stuff.  Each case is $127 at the pharmacy for 27 juice type boxes.  I've been looking on Ebay, and I can get a case for about $40, plus around $20 for shipping.  Still a lot of money on a full-time student and mom's budget.  Especially considering that he goes through at least 4 cases a month.

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