Co Payment On Chronic Meds

I gues Epilepsy has been removed from Discovery's listbof chronicbillnesses as Epilizinebis notbon the approved drug list
Then please tell me what medicine am i suppose to use i'll call Discovery my Neurologist

Why hasn't there been any problems in the past all of a sudden theres a problem it's the first time ever i heard Chronic claims can be depleted aswell thats why i'm paying a medical aid Epilizine cr 500mg is not listed on Discovery Health's chronic medicine formulary list for 2021, therefore, it is covered up to a monthly Chronic Drug Amount of R430.00. The shortfall experienced is related to this.

What do you prescribe i take for my Epilepsy ?

If i understand this correctly i must go and see my Neurologist for alternative medication Which will cost me R 800 of which Discovery won't pay because my over the counter funds are depleted

I'm taking 500mg 30mg Epilizine and 200mg Epitec what is on your prescribed listbor can only my Dr tell me ? I keep on paying a medical aid each month for what am i doing that ? From now on going forward i won't see a Neurologist any more i'll just consult Discovery

300mg Epilizine 500+ 300 = 800mg or do you hsve a better suggestion

I'm sorry i wont consult my Dr my medicine was taken off the list by Discovery pease prescribe me an alternative
received your query regarding alternatives on the chronic medicine list (formulary) for Epilizine cr 500mg.The medication, Epilizine cr 500mg was on the formulary prior to 2021.Each year we review our Chronic Illness Benefit (CIB) formulary medicines and Chronic Drug Amounts (CDAs) due to the following reasons:

• New medicines becoming available
• Prices of medicines changing
• Our ongoing negotiations and efforts to reduce the price of medicine for our members

Please see below a list of alternative Anti-epileptics: Fatty acid derivatives available on the chronic medicine list (formulary) which will be covered in full from the Chronic Illness Benefit (this can be found on page 18 of the attached formulary):Convulex 150mg; 300mg
Convulex syrup 250mg/5ml
Epilim crushable 100mg
Epilim sugar-free syrup 200mg/5ml
Eprolep CR 200mg; 300mg; 500mg
Navalpro CR 200mg; 300mg; 500mg
Valeptic CR 300mg; 500mgWe recognise that your treating doctor is in the best position to make medical decisions about your condition and treatment. Any changes to chronic medicine needs to be discussed with your treating doctor.I have attached a copy of our chronic formulary for your perusal. We require you to send us an updated prescription each time additions or changes are made to medicine relating to your approved condition so we are able to update your chronic profile on our system accordingly. This will ensure that your claims pay from the correct benefit. The prescription can either be faxed to *** or emailed to *** to be reviewed. If you include your email address or fax number on the updated prescription, we will provide you with feedback in 2 - 3 working days.

If you have any more questions, please visit www.discovery.co.za to Get Help or download the Discovery app to view your benefits and manage your health plan.We will add all your recent interactions to your interaction timeline within 24 hours. You can track and update your queries there.RegardsKagan Skippers
Discovery Health (Pty) Ltd
On behalf of Discovery Health Medical Scheme

Complaint not or unresolved what am i supposed to use now ?

Epilizine alternative ?