Several people have asked me to delineate the particulars concerning this Parity Law and TN Care restrictions. If you can bear with me to the end, I think the position will be clear.
As you know, TNCare limits the amount of Suboxone they will pay for for a recipient. They allow 16mg (2 tabs or film) a day for 6 months, then they cut it to 8mg a day for six months, and then they stop. That is the lifetime allotment for Suboxone.
Their motives are strictly financial. Suboxone was the largest payout for a non-formulary drug in the TNCare budget. One of the main reasons for this was gross over-prescribing by physicians, often writing for 32-40mg a day.
We all know that addiction is a chronic, relapsing brain disease involving the reward pathways. Abstinence based programs are 100 percent effective for those who go to meetings and work their program, but back here on earth, only 18% of addicts make it into recovery, even after prolonged inpatient stays. Many addicts suffer many years, go through multiple rehabs, and are in and out of 12 step programs before they finally “get it”– if they live long enough.
Those of us who have worked extensively with Suboxone KNOW how well it works. People’s lives are dramatically changed. Continue reading