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      The following is on my About page, but some have been asking how this all happened. So here is my little story. Tbird US Navy 1983 – 1990 E-6 HadIt.com the website domain registered Jan 20, 1997 the domain is registered and paid for through Jan 21, 2023 at which time I plan to register it for another 15 years Lord willing and the creek don't rise. I guess the best place to start is Jan 1991; I had gotten out of the navy Dec 1990. At my separation seminar, there was a DAV rep Jim Milton he told us to bring our medical records in and he would look through them for us and let us know if we should file a claim with the VA. Well, bless his heart, he opened my medical file, reads the first insert, looks me straight in the eye, and says you will be 50% for the rest of your life and he would file the claim for me. 50% was for surgery I had in the service. True to his word he met with me and talked with me for a long time filled out my paper work and urged me to file for PTSD. 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Up to the pysch ward I went, blah, blah, blah, a few days later I was released with a promise of a call from the out patient program, which I would soon be entering. Blah, blah, blah, after many missed communications, and no call backs I was at the Day Hospital everyday M-F. And this brothers and sisters is where I began to learn and formulate my plan for HadIt.com. Veterans, veterans everywhere…I spent a year in the day hospital and about another year at a sheltered workshop before I got back on my feet. So I just talked to veterans everyday waiting for appointments, waiting for prescriptions, waiting for a vet rep and I started to learn the system. While in the navy I was data analyst and had to learn a 5 volume manual and just about anything you were suppose to do was in that manual. So I figured there must be a manual on how to do a VA claim or at the very least regulations. So I found out about the Code of Federal Regulations, United States Code, Veterans Affairs Manuals and so on and so forth. Of course this was 1991/1992 I was living in a tiny studio apartment in a particularly bad neighborhood, working in a sheltered workshop making a nickel per envelope I stuffed throw in PTSD and you will see that it was a difficult task for me to get somewhere where they had copies of these, let alone that they would let me look at. And there was so much knowledge around me, it was like the gold rush in those days, I could just sit on a bench a veteran would sit down next to me a little conversation later I had another nugget, I made copious notes. Phone numbers to call, ask for this guy or that guy he'll give you the straight scoop and they'd slip me a piece of paper with a number on it. You want to read this regulation or that one and another slip of paper into my hand. 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So taking my lesson from the squirrels earlier I started to gather, gather, gather…and learn HTML and work as a marketing systems analyst and work my claim. 1996/1997 major PTSD cork blows and unemployed. Working my claim, working the website. 20 Jan 1997 register HadIt.com domain name right after getting off the phone with the VA and saying I've had it with this. As fate would have it the old DAV board goes down just as mine opens up and folks start to wander in. So HadIt.com has two main components the website which supports the discussion board with links, articles, research resources etc. The website starts to grow, I can't tell you how many times I had to switch servers for space and features. I continue on a downward trend and in 1998 ended up back home in St Louis living in my sisters basement in therapy and working it, I swear I would have swung a dead chicken around my head at midnight naked if I thought it would have helped. The website continued to do great during this time, I just stayed in the basement bought new software, new books, and learned how to make things work and I continued to use this knowledge to make HadIt.com better. My 100% finally came through from the VA and I had a friend who is an advocate who helped me thru my SSDI claim, he was literally at my side thru the entire process and that came through for me. My therapist and sister continued to try and get me to leave the basement, but to no avail. At some point in 1998 or 1999 I put a counter on the website and was shocked to discover how many visitors we were getting. Time goes by my sister gets married and I move from the basement to the upstairs, there is much celebration that Aunt T is living in the light again. More time goes by and I settle into my life in St Louis and spend more time on the site trying new things, finding more information. 2003 I buy my own home VA loan. For years now I have just considered HadIt.com my job and I get up every morning go to the office and work for several hours, take an afternoon break and see where the rest of day takes me. I have a place in the office to use the computer and a comfortable to place to read journals and articles and take notes. Blah, blah, blah so that is my story and HadIt.com's intertwined.
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    • VA Training and Fast Letter Forum Index

      VA Training and Fast Letter Forum Index The following is the index with links to the various Training and Fast Letters plus a few miscellaneous. These letters are not necessarily in the original formatting. I have tried to present them in an easy-to-read form instead of some forms as originally presented. Some of the paragraphs were WAAAAYYY too long. lol - HadIt.com Member fanaticbooks Something to be aware.... Some of these letters may be rescinded, outdated, or otherwise no longer viable. I have still included them because sometimes they provide additional insight or just plain more information than the newest version. Use them wisely. The oldest letters will display at the bottom with the latest letters displayed at the top, all in sequential numbers. Coding of the letters... FL = Fast Letter TL = Training Letter First two numbers = last two digits of year of origin Training Letter http://www.hadit.com/forums/index.php?/topic/40694-va-tl-00-07/ http://www.hadit.com/forums/index.php?/topic/40693-va-tl-00-06/ Fast Letter Number Title http://www.hadit.com/forums/index.php?/topic/44262-va-fl-11-15/ http://www.hadit.com/forums/index.php?/topic/44260-va-fl-11-13/ http://www.hadit.com/forums/index.php?/topic/44261-va-fl-11-11/ http://www.hadit.com/forums/index.php?/topic/44310-va-fl-11-09/ http://www.hadit.com/forums/index.php?/topic/42151-va-fl-11-03/ http://www.hadit.com/forums/index.php?/topic/40957-va-fl-10-49/ http://www.hadit.com/forums/index.php?/topic/40958-va-fl-10-46/ http://www.hadit.com/forums/index.php?/topic/40959-va-fl-10-45/ http://www.hadit.com/forums/index.php?/topic/40960-va-fl-10-42/ http://www.hadit.com/forums/index.php?/topic/40961-va-fl-10-39/ http://www.hadit.com/forums/index.php?/topic/40962-va-fl-10-35/ 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Va Formulary

13 posts in this topic

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http://www.pbm.va.gov/NationalFormulary.aspx

VA Prescription Benefits

Many veterans prefer to have their prescriptions filled at the St. Louis VA Medical Center to take advantage of the pharmacy benefit available to veterans.

The VA Medical Center Pharmacy cannot fill prescriptions written by non-VA physicians.

Patients are eligible for medications only for those conditions for which they are receiving active treatment at the VA Medical Center.

The VA Medical Center will not provide medications that are not listed on the VA Medication Formulary

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Bull - it depends on your PCP. Caveat: you would probably need to be at least 70% svc connected in order for this to work. All you need to do is go to your VA doc to see him/her about the same condition you were seen for out here in the real world. Then....produce the prescription that your civilian doc gave you at the END of the appointment - ask, "do you think that this would be a good med to treat [your condition]??". Secret here is to make sure you let your PCP know that you're double checking (getting a 2nd opinion). Make sure that they think you value their opinion. There are exceptions to the VA formulary - they CAN and do order non-formulary meds. Ya' can't get it immediately, but if u come up with a script that there's no suitable formulary substitute (and it's a safe med) you should be able to get somewhere with it in the VA system. Do your research before u go to the VA and print out the RX sheet from a site like medscape dot com. If u suck up and make it appear that your PCP came up with the idea, your chances of getting this accomplished are maximized. A couple of times, my PCP came up with even a better choice for a better drug than the civilian doc wrote for, not on the VA formulary.

Ya' gotta nurture your relationship with your VA PCP. If your PCP is not a good fit, ask for a transfer. As long as you have a good reason for wanting a transfer after the first one, you can get it no matter what the local VA policy is. Also, make it personal - make sure your VA PCP knows about you and your family - pull out pics of your kids, grandkids, etc. Talk about your hobbies, interests, and your life - they're human. I've been with mine for the past 4-years - she ain't perfect, but she'll read/listen to anything I bring in to her and she's made some huge mistakes (I either agree to disagree or let her think it was a good choice, but come up with something better a couple of days after your appointment). Don't complain and don't accuse - just do your homework and present things.

Get a fax machine and use it. They love faxes - write a note to your PCP accompanied with whatever you found on the Internet or a copy of a magazine article, etc. Faxes are read at the end of the day and they are more receptive to those than playing phone tag with you. A fax gives them a chance to deal with you and your problem when they have time to give you their attention - then, your PCP nurse will call you back. Get educated about whatever you're trying to discuss. They aren't able to fax you back, but believe me they prefer dealing with you via a fax rather than a phone call. Keep it short, to the point, and always mention thanks for taking their time to help you. My PCP's patient load has doubled in the past 2 years - but, I assure you they all can recognize me by first name.

AND....get to know your PCP nurse - they have increasingly more freedoms that you could ever imagine. Heck, I've even seen my PCP's receptionist put in blood work for me and she isn't even trained in any sort of medical specialty. Don't create an adversarial situation EVER & don't jump the chain of command - I even send Christmas cards and thank you notes. Make sure they can always put a name with a face.

Chicopee116

100% Svc Connected

Vietnam Era, SP5

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I completely agree. You must suck up to your doctor. I have alot of medical problems so I introduced all my local docs to the VA docs. Now that they are somewhat accquainted and comfortable with one another, my life is much easier. Since the VA is so busy and my comdtion takes so much time(100% S/C), I think the VA doc prefers that my private doc does most of the work then calls her with his recommedation for meds. Most of the time they just show up in the mail. This has taken a few years to cultivate. And yes I send Christmas cards and treats to all of them and remember to say thank you.

The best advise I received was from a social worker with NORD (National Organization for Rare Disordrers). That my disease was rare and there were going to be mistakes made since there is no clear treatment plan. Go to a large hospital with the resourses to run all the very expensive test and can't cancel my isurance. Then she said to make some friends there with the doctors and staff and loose the attitude about what I thought I was entitled too. Life isn't fair and that it has been proven that patients that are likable get better care and have better surivial rates!!!!

None of my 20 drugs are on the VA formulary

SE 100% S/C Non Langerhans Cell Histiocytosis :lol:

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I looked up my current and best tolerated pain killer.

They appear to be validating their own lack of desire to prescribe.

http://www.pbm.va.gov/Clinical%20Guidance/Criteria%20For%20Use/Oxycodone%20CR,%20Criteria%20for%20Use%20and%20Treatment%20Algorithm.pdf

I've been trying to use less costly pain killers for many years.

Because I pay the whole price outa my own pocket because the VA will not.

Nobody at the VA has the stones to prescribe anything for pain for more

than one month anyway.

When they do 'give' me a pain killer it's never been oxycodone, always

one of the cheaper ones that my system will not tolerate.

The main reason for not prescribing oxycodone is the cost to the VA.

Except for addicts, I don't know anybody who likes pain 'or the pills'

that give some relief.

Would I be buying most of my medications and all of the

over-the-counter stuff that is prescribed if I did not have to?

NO.

The VA has the best health care!

Compared to Ethiopia or Somalia.

The private sector is using the VA model of delivering health care to

model their own.

That's why private sector health care has gone down the tubes.

Copying something that the VA does to veterans is not something that

I would be proud of.

sledge

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Get a prescription for oxycontin, demerol or dilaudid from private doctor and see if your VA PCP will fill it. I bet you they will not fill it unless you are dying from cancer. I asked pain doctors at the VA for vicodin and they refused and gave me morphine. Morphine is cheaper than vicodin. They do prescribe generic vicodin. It is cheap and very habit forming as is oxycodone. The shorter acting the drug the more addictive it is.

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Caveat: you would probably need to be at least 70% svc connected in order for this to work.

At 50 percent SC VA is to provide all medical care to include prosthetics and RX's with no co-payment,

if that's what the vet wants. This includes any and all medical issues they don't have to be SC'd.

carlie

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The VA formulary is alright to a limited extent, especially if their analogues are not good enough to avoid adverse affects.

I tried the VA for a while but found that, with one exception, none of the meds I was taking for cholesterol, blood pressure and bad attitude were on the formulary and I had some fairly uncomfortable weeks trying to live through the chemical readjustment. I needed a specific variation of several meds that kept me on the level and feeling halfway well. It took about six months to get back to the proper meds and that was through a family doctor and a cardiologist.

Be careful.

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This also works for some prosthetic items.

Also, if the VA is not able to obtain and/or provide the medication you require, you can always ask the doc for a paper prescription and get it filled at the pharmacy of your choice.

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chicopee

I agree 100% with you about developing a relationship with your PCP. However I would bear in mind that the appointment allows you 20 minutes with him. If you run long it throws off his whole day and possibly short changes the next vet down the line.

sledge

I get my oxycodone monthly from my PCP with a phone call. My understanding is that 30 days is the maximum the feds will allow this prescription. And the new script has to be an original to the pharmacy, it can't be called in but they send it FedEx.. I see you have been posting a while so I am sure you have tried other PCPs. I am sorry to read of your experiences. I have always received top level compassionate care from the VA. Maybe you should keep shopping for a provider.

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When I visit my PCP I am sorry I stay as long as she wants me there. The time spent is her decision not mine. If you take more than 20 minutes its not the Veterans fault. I have waited hours to see the Doc and sometimes just a few minutes you never know. I do not begrudge a Vet for the time spent in the Doc's office.

I also see my Medicare HMO Doc 4 times a year and I must say he is much more efficient as I usually see him in less than 20 minutes from arrival.

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Nobody at the VA has the stones to prescribe anything for pain for more

than one month anyway.

I think this must be your PCP, because my PCP does 6 refills for Hydro 10's (180 per month)......with a 3 month check-up in-between!

I really hope you have better luck finding some kind of pain relief .......God Bless!

B6

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I have used the VA opiate program. This was OK as long as you had no changes needed in your scripts. They would mail me the dope every month. As time progressed the drugs became less effective as is the usual case with narcotic pain meds. My PCP referred me to the ambulatory pain clinic for adjustment. Now I have to drag myself into the VAMC once a month and wait for an hour to see a different doctor each time. I have to wait around for the piss test. Then if I want my pain meds right away I have to wait at the VA for two hours to get the script. I spend the whole day for one script. This sucks! I pity anyone with chronic pain problems that relies on the VA. I think it is better to somehow just suffer the pain than to be on this hamster wheel. Better to just tie a block of concrete around your neck and jump into the nearest lake than be treated like a dope fiend.

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Posted · Report post

I have used the VA opiate program. This was OK as long as you had no changes needed in your scripts. They would mail me the dope every month. As time progressed the drugs became less effective as is the usual case with narcotic pain meds. My PCP referred me to the ambulatory pain clinic for adjustment. Now I have to drag myself into the VAMC once a month and wait for an hour to see a different doctor each time. I have to wait around for the piss test. Then if I want my pain meds right away I have to wait at the VA for two hours to get the script. I spend the whole day for one script. This sucks! I pity anyone with chronic pain problems that relies on the VA. I think it is better to somehow just suffer the pain than to be on this hamster wheel. Better to just tie a block of concrete around your neck and jump into the nearest lake than be treated like a dope fiend.

Great post! Always enjoy reading your post(s) John! God Bless!

B6

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