CareSource Ohio State Insurance No Longer Covers Suboxone Effective 3/1/2017

CareSource Ohio State Insurance No Longer Covers SuboxoneRecently, this community was notified that Ohio State Medicaid Insurance known as CareSource will no longer be covering Suboxone, Zubsolv or Bunavall starting on March 1, 2017. All 3 medications are used to treat heroin and opioid dependency and addiction and contain the same active ingredients: buprenorphine and naloxone. Letters, like the one below have already been sent to some, if not all CareSource consumers.

UPDATE: It has come to our attention, that despite a very poorly worded letter being sent out to CareSource customers, that the pill form of treatment is still covered.  Thus, this only applies to the sublingual film.

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According to several reputable sources, Ohio’s elimination of state coverage for Suboxone is only the beginning. It is likely that other states will follow suit and state / medicaid insurance will not only stop covering Suboxone, but Methadone as well.  As to if and when other states and insurance policies will drop coverage for Suboxone and Methadone, we don’t have any additional detailed information at this time.

Given the large quantity of individuals dependent on Suboxone, this movement has the potential to lead many to panic and quite potentially, back to active addiction.   Eliminating insurance coverage for crucial medication that helps curb cravings for opioid and heroin addiction will likely cause an even greater spike in the the number of opioid and/or heroin overdose related deaths.

Warnings To Those Covered by CareSource or Any State Insurance for Suboxone and Methadone

CareSource Ohio State Insurance Letter About Dropping Suboxone, Zubsolv and BunavallMen and women devoted to addiction treatment and recovery may be forced into a rapid detox and/or taper or will likely have to find another option for treatment. Sadly, Kill The Heroin Epidemic Nationwide suspects that street sales of illegally purchased Suboxone will go up as will the prices. This community also suspects that a large number of Ohio Suboxone consumers will resort back active addiction and use stronger opioids like Vicodin, oxycodone, heroin, fentanyl and more to prevent themselves from getting sick.  This domino affect will likely create a large spike in the number of opioid overdose related deaths.

While medicine assisted treatment (MAT) including methadone, Suboxone and even naltrexone (the active ingredient in Vivitrol and ReVia) is considered controversial, elimination of coverage for these “safer” opioid medications could result in a nightmare for many families.

Reputable sources believe the complete elimination of insurance coverage for medicine assisted treatment isn’t a matter of “if”, it’s simply a matter of “when”.  Thus, the Kill The Heroin Epidemic Nationwide patient community strongly encourages men and women who depend on Suboxone and/or methadone coverage by their state insurance to start making preparations now to slowly taper off or find alternative means of payment for their medication.

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Written by William Charles, Owner / Publisher of Kill the Heroin Epidemic Nationwide™, Heroin News and the National Alliance of Addiction Treatment Centers (NAATC)

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17 thoughts on “CareSource Ohio State Insurance No Longer Covers Suboxone Effective 3/1/2017

    • Steve,

      We just updated the article to reflect some new information we received…apparently despite a very poorly worded letter sent out by CareSource to its consumers, the pill form of treatment will still be covered. However, many reputable sources do still believe that it’s only a matter of time until insurance no longer covers medicine assisted treatment for heroin/opioid addiction. I hope this isn’t true, but only time will tell.

      Peace and Love,

      William

    • Steve,

      We just updated the article to reflect some new information we received…apparently despite a very poorly worded letter sent out by CareSource to its consumers, the pill form of treatment will still be covered. However, many reputable sources do still believe that it’s only a matter of time until insurance no longer covers medicine assisted treatment for heroin/opioid addiction. I hope this isn’t true, but only time will tell.

      Peace and Love,

      William

  1. Care Source is stopping the coverage of those three types of medicines specifically listed on the letter shown above. I received the same letter the same day I had gotten back from my doctor’s appointment and he had told me the same thing the letter specifically states. If someone would have done a little better research they would have found out that Care Source has stop paying for Suboxone “FILMS”, however Care Source is still Paying for Suboxone in the pill form. So it is not as hopeless as this article has made it out to be, just a little different and might take a little while to get used to. Its the exact same ingredients and just as effective.

    • Brad,

      Yes, apparently despite a very poorly worded letter sent out by CareSource to its consumers, the pill form of treatment will still be covered. However, many reputable sources do still believe that it’s only a matter of time until insurance no longer covers medicine assisted treatment for heroin/opioid addiction. I hope this isn’t true, but only time will tell.

      Peace and Love,

      William

  2. This is stupid and a selfish move. Addiction was labeled as a disease so this is like taking medicine away from cancer patients. Good job greedy insurance companies, way to ruin addicts hopes for a life without heroin/opiates ect.

    • Joshua,

      Yes, this is very concerning however, we just updated the article to reflect some new information we received…apparently despite a very poorly worded letter sent out by CareSource to its consumers, the pill form of treatment will still be covered. However, many reputable sources do still believe that it’s only a matter of time until insurance no longer covers medicine assisted treatment for heroin/opioid addiction. I hope this isn’t true, but only time will tell.

      Peace and Love,

      William

  3. No doubt death rate is going to climb those medications are desperately needed to save lives more families are going to get hurt devastated by this new rule it’s sad that the world cannot be compassionate

    • Joyce,

      Yes, this is very concerning however, we just updated the article to reflect some new information we received…apparently despite a very poorly worded letter sent out by CareSource to its consumers, the pill form of treatment will still be covered. However, many reputable sources do still believe that it’s only a matter of time until insurance no longer covers medicine assisted treatment for heroin/opioid addiction. I hope this isn’t true, but only time will tell.

      Peace and Love,

      William

  4. This is a tragic move. That medicine helps so many people and their entire families! They can go back to their families and be happy and healthy! Not spending all their money and turning hateful when they need that bad stuff. Hell people actually go to counseling to get that medicine which helps them and the entire family! This is the worse decision I’ve heard! We need get Trump to really look into all the benefits this medication Has not just for the individual but the entire family!

    • Hi Tina and thanks for your comments. Yes, I’m not happy about the move but it’s not as bad as we originally thought. Suboxone sublingual film isn’t covered but apparently the pill forms still are. I recommend contacting your doctor to discuss this if you are affected but there does appear to be a solution.

      Peace and Love,

      William – Founder and Publisher

    • Ashley,

      I agree. The good news however, is that CareSource is still covering the pill form of Suboxone. Ironically however, it’s the pill form of Suboxone that was regularly abused prior to the sublingual film being released.

      Peace and Love,

      William – Publisher of this Community

  5. I was told by my doctor.the reason that are doing this is because the pill form is cheaper for the insurance companies to make.very shitty reason if u ask .More people are going to be loosing there life’s because of this.just to save a buck.if that’s the case then lower the price so people looking for a second chance at life could afford this medication.my sript is $599.00 a month.realy.

  6. What the article failed to mention is that the films have a higher bioavailability than the tablets. So in other words, your body absorbs more of the medication in the film formulation as opposed to the tablet form. Caresource is telling everyone that the tablets have the same active ingredients so they are equal to the films, but they are not equal because your body does not absorb as much of the active ingredients in the tablet form! I have friends who were switched to the tablets & they were sick/withdrawaling for a least a month. 3 friends of mine passed away from this awful disease all in this past month! What Caresource is doing is pure EVIL & GREED! We are in the middle of a heroin epidemic & this switch will only make the death toll rise! It’s all because Caresource is out to save a buck. Sadly, you would think that someone’s life would be worth more than a ten dollar difference. At my pharmacy there is only $10 difference (total) between a moths worth of films compared to the generic tablets. This population is terribly vulnerable & these people are trying to get their lives back together. Shame on you Caresource! I wish there was something we could do to change this decision. Go to the governor maybe?

    • Carrie,

      I appreciate you sharing this information. In fact, I was unaware that there was a difference in the degree of bioavailability between the tablets and the film…otherwise we would have reported on it. That said, I will do some research on this and perhaps even write a follow-up article on it. I know that insurance companies always make decisions to save money. That’s their primary concern…to them, it’s not about saving lives, which is horrible. In fact, while it’s not insurance related, we just read and reported on an article how Middletown, Ohio is trying to pass a law where they don’t have to sent out the EMS for overdoses to administer Narcan because it’s costing them too much money. But if they pass that law, more people will die. It’s sickening, disturbing and if there’s something we can do to fight against it, I want to participate. In the meantime, spreading awareness about it may be enough to stop the horror…but not always.

      Peace and Love,

      William

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